Abstract
Objective: To comparison of the outcome of short term versus long term catheterization after vaginal prolapse surgery.
Methodology: This randomized controlled trial has been conducted from January 2015 to December 2015 at the Obstetrics & Gynecology Department of Bahawal Victoria Hospital, Bahawalpur. Patients who underwent folley’s catheter insertion after vaginal prolapse surgery, 40 to 80 years of age were included. Patients with previously urinary tract infections, requiring prolonged catheterization due to intraoperative bladder trauma and post-operatively vesico-vaginal fistula were excluded. Subjects were randomly placed into Group A (short term catheterization, 1 day) and Group B (long term catheterization, 3 days), via lottery method. The outcome in term of re-catheterization, urinary tract infections and residual urine >50 ml on ultrasonography was noted for both groups after catheter removal on a respective day.
Results: Total 126 patients were studied. Mean age was 57.78±9.81 years for group-A and 58.78±8.90 years for group-B patients. In Group A (short term), re-catheterization was found 4.76%, urinary tract infections 7.94% and residual urine >50 ml in 25.40%, these findings were significantly lower as compared to Group B (long term), as; re-catheterization was 17.46%, urinary tract infections 39.68% and residual urine >50 ml 53.97%, p-values quite significant.
Conclusion: This study concluded that the short term catheterization showed a better outcome than the long-term catheterization following vaginal prolapse surgery.
Rabia Qasim, Tehseen Fatima, Bibi Monis. (2019) Comparison of the Short Term Versus Long Term Catheterization After Vaginal Prolapse Surgery, Journal of the Society of Obstetrics and Gynaecologists of Pakistan , Volume-09, Issue-1.
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