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Cited by 53Pelvic floor disorders treatmentsUrinary Tract Infections ManagementUrinary Bladder and Prostate Research

A randomized controlled trial comparing short- versus long-term catheterization after uncomplicated vaginal prolapse surgery

Kamilya, Gourisankar, Seal, Subrata Lall, Mukherji, Joydev, Bhattacharyya, Subir Kumar, Hazra, Avijit·2010·Journal of Obstetrics and Gynaecology Research
DOI 10.1111/j.1447-0756.2009.01096.x
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Abstract

Aims: Routine catheterization following vaginal prolapse surgery has advantages like prevention of postoperative retention of urine and prevention of any adverse effect on surgical outcome. However, it increases the risk of urinary tract infection (UTI), prevent early ambulation and prolong hospital stay. This randomized controlled trial was done on how best to minimize catheter related complication after prolapse surgery. Methods: 200 patients planned for vaginal prolapse surgery were recruited and randomized into two groups. In group I and group II catheter was removed on 1 st and 4 th post operative day, respectively. After removal, if patient could not void or when residual urine volume exceeds 150 mL, recatheterisation was done for another three days. Sample of urine was sent for culture during catheter removal. Results: Age, parity, type of surgery and mean operation time did not differ significantly between the two groups. Mean duration of catheterization was significantly shorter (1.64 vs 4.09) and mean duration of hospital stay was shorter by 1.2 days, in first group. However a significantly higher number of retention of urine or residual urine more than 150 mL was found in the early removal group (OR 3.10) but lesser chance of development of urinary tract infection (OR 0.10). Conclusions: The early removal of catheter seems more advantageous, with lower incidence of urinary tract infection and a shorter hospital stay although associated with an increased risk of recatheterisation.

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Crossref · 10.1111/j.1447-0756.2009.01096.x

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  • Two trials with a total of 277 women evaluated POP surgery with in-dwelling catheter removal at longer than 24 hours versus at 24 hours after surgery.

    “POP surgery with in‐dwelling catheter removal at longer than 24 hours versus at 24 hours after surgery: two trials with a total of 277 women (Fernandez‐Gonzalez 2019; Kamilya 2010).”

    From Perioperative interventions in pelvic organ prolapse surgery (2025) · cites this paper as Kamilya 2010

  • In women undergoing POP surgery, having an IDC for longer than 24 hours may lead to a greater total number of catheter days (MD 2.45, 95% CI 2.14 to 2.76; 1 study, 197 women; low-certainty evidence).

    “Based on evidence from a single trial (Kamilya 2010), women with an IDC for longer than 24 hours may be more likely to have a greater total number of catheter days compared to the control group (MD 2.45, 95% CI 2.14 to 2.76; 1 study, 197 women; low‐certainty evidence; Analysis 3.4).”

    From Perioperative interventions in pelvic organ prolapse surgery (2025) · cites this paper as Kamilya 2010

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Authors
Kamilya, G., Seal, S. L., Mukherji, J., Bhattacharyya, S. K., & Hazra, A.
Affiliations
R. G. Kar Medical College and Hospital (IN)
Corresponding author
Kamilya, Gourisankar
ORCID
Hazra, Avijit
Venue
Journal of Obstetrics and Gynaecology Research
Publisher
Wiley
Published
2010-02
Volume
36
Issue
1
Pages
154-158
ISSN
  • 1341-8076 (ISSN-L)
  • 1447-0756
DOI
10.1111/j.1447-0756.2009.01096.x
OpenAlex
W2016200755
Cited by
53
References
13
Citations by year
2026: 4 · 2025: 1 · 2024: 4 · 2023: 1 · 2022: 5 · 2021: 8 · 2020: 2 · 2019: 4 · 2018: 3 · 2017: 3 · 2016: 3 · 2015: 3 · 2014: 3 · 2013: 4 · 2012: 1
FWCI
2.01
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Journal of obstetrics and gynaecology research (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
  • Health Sciences › Medicine › Epidemiology › Urinary Tract Infections Management
  • Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
Keywords
vaginal prolapse surgery, urinary catheterization, catheter removal timing, urinary retention, residual urine, urinary tract infection, recatheterization, length of hospital stay, postoperative complications
MeSH terms
Adult, Urinary Bladder Diseases, Female, Humans, Middle Aged, Postoperative Care, Postoperative Complications, Time Factors, Urinary Catheterization, Urinary Tract Infections, Uterine Prolapse

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