Urinary Retention After Removing Urinary Catheter at 24 Hour Versus 48 Hour in Patients With Vaginal Surgery

Rajavithi Hospital

Status: Completed

Conditions: Urinary Retention; Pelvic Organ Prolapse

Treatments: Procedure: Removing urinary catheter

Study type: Interventional

Funder types: Other

Identifiers

NCT04954443

084/2564

Details and patient eligibility

About

Comparison incident of urinary retention in patients with vaginal surgery of pelvic organ prolapse, who removed urinary catheter at 24 hours versus 48 hours after surgery

Full description

Vaginal surgery of pelvic organ prolapse needs to insert urinary catheter for monitoring post-operative complication, hemodynamic status, and prevention post-operative urinary retention. Urinary retention occur 2.4 - 43% after pelvic organ prolapse surgery, whereas retaining urinary catheter is common cause of urinary tract infection, often hospital-acquired infection. At Rajavithi hospital always remove urinary catheter at 48 hour after surgery. Accordingly, appropriated time for removing urinary catheter in patients with vaginal surgery of pelvic organ prolapse is unclear. This study aims to reduce timing for removing urinary catheter after vaginal surgery, not increase urinary retention and re-catheterization and reduce urinary tract infection and day of hospital stay.

Enrollment: 60 patients

Sex: Female

Ages: 45 to 80 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Woman with pelvic organ prolapse, who undergoing vaginal surgery and agrees to participate in this study
• Able to understand and communicate Thai language

Exclusion criteria

• Woman with diabetes mellitus with HbA1C > 10.9%
• Woman with stroke
• Woman with urinary tract infection before surgery
• Woman with urinary retention before surgery
• Woman, who experienced surgery for urinary incontinence
• Woman, with operative complication including of hemorrhagic shock (Blood pressure < 90/60 mmHg, Heart rate > 120 beats per minute, Intra-operative blood loss > or = 750 ml), urinary tract injury, bowel injury

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 2 patient groups, including a placebo group

Removing urinary catheter at 24 hours after surgery

Experimental group

Description:

The participants will removing urinary catheters at 24 hour after vaginal surgery of pelvic organ prolapse.

Treatment:

Procedure: Removing urinary catheter

Removing urinary catheter at 48 hours after surgery

Placebo Comparator group

Description:

The participants will removing urinary catheters at 48 hour after vaginal surgery of pelvic organ prolapse.

Treatment:

Procedure: Removing urinary catheter