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Cited by 16Pelvic floor disorders treatmentsUrinary Bladder and Prostate ResearchUrinary Tract Infections Management

A randomised controlled trial comparing immediate versus delayed catheter removal following vaginal prolapse surgery

Bray, Rhiannon, Cartwright, Rufus, Digesu, Alex, Fernando, Ruwan, Khullar, Vik·2017·European Journal of Obstetrics & Gynecology and Reproductive Biology
DOI 10.1016/j.ejogrb.2017.01.015
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Abstract

Objective It is unclear if any catheterisation is necessary after vaginal surgery for pelvic organ prolapse. The aim of this study was to determine if indwelling catheterisation is necessary after these procedures.Study design A randomised controlled trial of immediate post-operative removal of catheter compared to a suprapubic catheter (SPC) after vaginal prolapse surgery. In the Suprapubic group the catheter was left on free drainage until a voiding trial was commenced at 48h. Women in the immediate removal group underwent in/out catheterisation only if they had not voided by 8h after surgery to ensure the bladder did not over-distend.Results 55% (n=17) of patients in the immediate removal group did not require catheterisation postoperatively. A further 13 (42%) patients only required one in/out catheterisation 8h post operatively. In the immediate removal group duration of catheterisation was significantly shorter (median 0h, IQR 0-8h, range 0-16h) vs (6days (IQR 2-8days, range 2-19h) p=0.001). The duration of hospital stay (7days (range 3-16) vs. 9 (range 3-27) p=0.014), day of first mobilisation (Day 1, range 0-2, vs. Day 2, range 1-4, p=0.001), and rate of Symptomatic bacturia (16% vs. 52%, p<0.01) were all significantly better with immediate catheter removal.Conclusions After vaginal surgery for pelvic organ prolapse, the majority of patients do not require extended catheterisation. Early removal of a catheter reduces urinary tract infection and significantly decreases hospital stay. Such a policy should result in improved patient satisfaction and reduced hospital costs.

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Crossref · 10.1016/j.ejogrb.2017.01.015

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  • Five trials with a total of 478 women evaluated POP surgery with in-dwelling catheter removal before 24 hours versus at 24 hours after surgery.

    “POP surgery with in‐dwelling catheter removal before 24 hours versus at 24 hours after surgery: five trials with a total of 478 women (Aslam 2020; Bray 2017; Carter‐Brooks 2018; Rajan 2017; Vallabh‐Patel 2020).”

    From Perioperative interventions in pelvic organ prolapse surgery (2025) · cites this paper as Bray 2017

  • Concomitant stress incontinence was an inclusion criterion in Barber 2014, and an exclusion criterion in Bray 2017.

    “Concomitant stress incontinence was an inclusion criterion in Barber 2014, and an exclusion criterion in Bray 2017.”

    From Perioperative interventions in pelvic organ prolapse surgery (2025) · cites this paper as Bray 2017

  • Ten trials reported on bladder function (Aslam 2020; Bray 2017; Carter-Brooks 2018; Kamilya 2010; Letouzey 2017; Marschalek 2021; Rahn 2023; Rajan 2017; Rockefeller 2021; Russo 2020).

    “Ten trials reported on bladder function (Aslam 2020; Bray 2017; Carter‐Brooks 2018; Kamilya 2010; Letouzey 2017; Marschalek 2021; Rahn 2023; Rajan 2017; Rockefeller 2021; Russo 2020).”

    From Perioperative interventions in pelvic organ prolapse surgery (2025) · cites this paper as Bray 2017

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Authors
Bray, R., Cartwright, R., Digesu, A., Fernando, R., & Khullar, V.
Affiliations
  • St Mary's Hospital (GB)
  • Imperial College London (GB)
Corresponding author
Bray, Rhiannon
ORCID
Venue
European Journal of Obstetrics & Gynecology and Reproductive Biology
Publisher
Elsevier BV
Published
2017-03
Volume
210
Pages
314-318
ISSN
  • 0028-2243 (ISSN-L)
  • 0301-2115
DOI
10.1016/j.ejogrb.2017.01.015
OpenAlex
W2579673524
Cited by
16
References
26
Citations by year
2025: 1 · 2024: 1 · 2022: 3 · 2021: 3 · 2020: 3 · 2019: 1 · 2018: 4
FWCI
1.91
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • European Journal of Obstetrics & Gynecology and Reproductive Biology (publishedVersion)
  • PubMed (publishedVersion)
  • Spiral (Imperial College London) (submittedVersion)
Topics
  • Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
  • Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
  • Health Sciences › Medicine › Epidemiology › Urinary Tract Infections Management
Keywords
indwelling urinary catheter, catheter removal timing, suprapubic catheter, vaginal prolapse surgery, pelvic organ prolapse, postoperative urinary retention, urinary tract infection, length of hospital stay, voiding trial
MeSH terms
Adult, Aged, Aged, 80 and over, Catheters, Indwelling, Female, Humans, Middle Aged, Gynecologic Surgical Procedures, Urinary Catheterization, Pelvic Organ Prolapse

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