Abstract

To evaluate the risks and benefits associated with early (24 hours) and late (72 hours) urinary catheter removal following vaginal hysterectomy with cystocele repair. Materials and Methods: Candidates for vaginal repair surgery were 200 women with utero vaginal prolapse with cystocele with or without rectocele stage II to stage IV according to the Pelvic Organ Prolapse Quantifications System, without stress urine incontinence and without recurring urinary tract infections. At the time of the intervention, a urinary catheter (Foley 16) was placed, and it was randomly removed from two groups of patients 24 hours (100 patients) and 72 hours (100 patients) later. Preventive intravenous antibiotics were given for 24 hours to first group and 72 hours for second group. Urine culture was used to detect urinary tract infection (UTI). All the candidates were observed post operatively for any acute urinary retention (AUR) after 8 hours of catheter removal. Calculating percentage frequencies and looking for differences using the chi-square test (x2). Results: 4%, and 11%, respectively, of the participants in groups 1 and 2 had UTI. Urinary catheterization time and the presence of UTI were not statistically significantly associated (x2 =3.53, p=0.06). AUR was found among 5% and 1% of the participants respectively in group 1 and 2. AUR was not statistically significantly associated (p=0.18). Recatheterization was 2% and 1% respectively in group 1 and 2, which again is statistically not significantly associated (p=0.56). 2% and 100% respectively, of the participants in groups 1 and 2 had hospital stay for more than 3 days with is statistically significant (p= <0.01) Conclusion: Catheter removal after 24 hours of vaginal hysterectomy with cystocele repair reduces the hospital stay, UTI rates and catheter related discomfort of the patient and increases the patient satisfaction level.

Description