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Cited by 6Pelvic floor disorders treatmentsUrinary Bladder and Prostate ResearchUrinary Tract Infections Management

When to remove the indwelling catheter after minimally invasive sacrocolpopexy? CARESS (catheter removal after sacrocolpopexy surgery)

Aslam, Muhammad Faisal, Bazzi, Ali A., Hagglund, Karen H., Osmundsen, Blake C.·2020·Female Pelvic Medicine & Reconstructive Surgery
DOI 10.1097/spv.0000000000000826
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Abstract

Objective: The aim of the study was to determine the best practice guidelines regarding the use of indwelling catheters after minimally invasive sacrocolpopexy. Methods: Multicenter (3 sites) randomized control trial comparing the standard overnight indwelling urethral catheterization (group 2) with removal of catheter immediately after surgery (group 1). Our primary outcome is the need for recatheterization. Secondary outcomes include the number of patients discharged with a catheter, length of hospital stay, number of urinary tract infections, patient satisfaction/pain scores, and whether patients would use the same treatment again. Results: There were 32 patients (43.8%) in group 1 and 41 patients (56.2%) in group 2. On average, patients in group 1 required straight catheterization 0.8 (SD = 0.9) times versus 0.6 (SD = 0.9) times for group 2 ( P = 0.239). The number of days with a catheter between the 2 groups was not statistically significant. There was no statistical significance between group 1 and group 2 in terms of operative time, times to leave the operating room, and hospital. Zero patients in group 1 and 2 patients in group 2 had a urinary tract infection. After dividing the groups based on whether or not they underwent a transvaginal tape procedure, the final results were similar. Conclusions: We did not observe a difference in the risk of recatheterization or discharge home with a urinary catheter between the 2 groups. Addition of transvaginal tape to sacrocolpopexy did not show a difference in the risk of recatheterization. One reason for the lack of difference between the 2 groups could be due to a lack of power in our study.

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Crossref · 10.1097/spv.0000000000000826

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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 Aslam 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).

    “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 Aslam 2020

  • In women undergoing POP surgery, immediate postoperative IDC removal at less than 24 hours versus at 24 hours may result in no clinically relevant difference in operating time (MD 6.00, 95% CI -35.16 to 47.16; 1 study, 64 women; low-certainty evidence).

    “Based on evidence from a single trial (Aslam 2020), there may be no clinically relevant difference in operating time between women whose IDC was removed at 24 hours postoperatively versus those whose IDC was removed before 24 hours had elapsed (MD 6.00, 95% CI ‐35.16 to 47.16; 1 study, 64 women; low‐certainty evidence; Analysis 2.3).”

    From Perioperative interventions in pelvic organ prolapse surgery (2025) · cites this paper as Aslam 2020

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Authors
Aslam, M. F., Bazzi, A. A., Hagglund, K. H., & Osmundsen, B. C.
Affiliations
  • St. John Hospital & Medical Center (US)
  • Legacy Health (US)
Corresponding author
  • Aslam, Muhammad Faisal
  • Bazzi, Ali A.
  • Hagglund, Karen H.
ORCID
Venue
Female Pelvic Medicine & Reconstructive Surgery
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2020-02
Volume
26
Issue
2
Pages
120-127
ISSN
  • 2151-8378 (ISSN-L)
  • 2154-4212
DOI
10.1097/spv.0000000000000826
OpenAlex
W3003418443
Cited by
6
References
29
Citations by year
2026: 1 · 2025: 1 · 2022: 1 · 2021: 2 · 2020: 1
FWCI
0.75
Type
journal article
Language
en
Open access
closed
Locations
  • Urogynecology (publishedVersion)
  • PubMed (publishedVersion)
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, recatheterization, urinary tract infection, transvaginal tape, postoperative urinary retention, length of hospital stay, patient satisfaction
MeSH terms
Catheters, Indwelling, Female, Humans, Middle Aged, Outcome and Process Assessment, Health Care, Pain, Postoperative, Postoperative Pain, Postoperative Care, Gynecologic Surgical Procedures, Urinary Catheterization, Urinary Tract Infections, Minimally Invasive Surgical Procedures, Retreatment, Plastic Surgery Procedures, Risk Adjustment, Device Removal, Urinary Catheters

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