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Study: Unnecessary to leave indwelling catheter in place for days after surgery.

Women's Health Weekly

| August 05, 2004 | COPYRIGHT 2004 NewsRX. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

2004 AUG 5 - (NewsRx.com & NewsRx.net) -- It's not necessary to leave a transurethral indwelling catheter for several days to prevent voiding difficulties after surgery for urinary incontinence, physicians report.

"Catheterization is considered to be a mandatory procedure for adequate bladder drainage following an anti-incontinence operation until the recovery of normal voiding function occurs. We conducted a prospective study to challenge this practice," said M.J. Sun and colleagues, Chung Shan Medical University Hospital, Taiwan.

The surgeons randomly allocated 86 patients with genuine stress incontinence who underwent a modified Burch coplosuspension to receive either the transurethral Foley catheter removed postoperatively the morning after surgery (Group A) or the transurethral indwelling catheter left in place until the fifth postoperative day (Group B; controls).

Sun and associates reported that "the percentages of immediate voiding difficulties in Groups A and B were 7.1% and 0%, respectively (p>.05). The postoperative urinary tract infection rates of Groups A and B were 16.6% and 23.3%, respectively (p>.05)."

They said their modification did not compromise the Group A patients' success ...

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