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Study suggests early catheter removal is safe. (Simple Hysterectomy).
SAN FRANCISCO -- Sometimes it takes a fresh pair of eyes to see what may need changing in medicine.
When an ob.gyn. resident questioned why indwelling catheters in women undergoing hysterectomy are left in place for 24 hours after surgery, which is a common practice in ob.gyn., investigators at the University of Colorado, Denver, and Denver Health Medical Center conducted a randomized trial of 250 women to see what would happen if catheters were removed in the operating room after surgery.
There were no significant differences in the rates of fever, urinary tract infection, or the need for recatheterization in women whose catheters were removed early and those whose catheters were removed 24 hours later. The early removal group reported significantly less severe postoperative pain in the bladder or urethra than the controls, Dr. Terry S. Dunn said at the annual meeting of the American Urogynecologic Society.
"Unless you're concerned about excessive blood loss or fluid monitoring, there's no reason to have the catheter in for 24 hours after a simple hysterectomy," whether it's a vaginal or abdominal procedure, said Dr. Dunn of the university.
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Source: HighBeam Research, Study suggests early catheter removal is safe. (Simple Hysterectomy).