Online ISSN: 2515-8260

Keywords : urinary catheter. Abdominal hysterectomy


A Randomized Evaluation of Urinary Catheters Removal after Complete Abdominal Hysterectomy

Bhima Harika; Ch. Srikarani Reddy; Gunapati Mithilasri

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 1960-1966

Background: The purpose of this study is to determine whether immediate, intermediate, or delayed removal of an indwelling urinary catheter after an uncomplicated abdominal hysterectomy has an effect on the rate of recatheterization due to urinary retention, the rate of urinary tract infection, the amount of time patients spend walking around in the hospital, and the total length of their hospital stay. Martial and Methods: A Randomized controlled study was carried out at Narayana Medical College, Nellore, A. P, and India. A total abdominal hysterectomy was performed on two hundred twenty one women who were diagnosed with benign gynecological disorders. The patients were then divided into three groups at random. Urinary catheters were removed from the urinary systems of the women in group and as soon as possible after surgery. In group B, the catheter was withdrawn six hours after the surgery, while in group C, it was removed twenty-four hours after the surgery. The frequency of urine retention, the number of urinary tract infections, the amount of time spent ambulating, and the total length of hospital stay were the primary end measures. Results: The rapid removal group saw a statistically significant increase in the number of urinary retention episodes requiring catheterization when compared to the groups that underwent intermediate or delayed removal. The delayed urinary catheter removal was associated with a greater prevalence of urinary tract infections, a longer delay in ambulation time, and an extended hospital stay as compared to the early and intermediate removal groups. Conclusion: Removal of the urinary catheter 6 h postoperatively appears to be more advantageous than early or late removal in cases of uncomplicated total abdominal hysterectomy