International urogynecology journal · 2026
Timing of Indwelling Catheter Removal and its Impact on Postoperative Urinary Retention Following Prolapse Surgery.
СтатьяНазвание и аннотация: Перевод в очереди
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Blankenspoor Wendy, Verkleij-Hagoort Anna Corina
Аннотация
INTRODUCTION AND HYPOTHESIS: Postoperative urinary retention (POUR) is a common complication in prolapse surgery patients. However, there is no consensus regarding the optimal timing for postoperative indwelling urinary catheter (IUC) removal. To provide effective and evidence-based healthcare, we compare same-day midnight removal with IUC removal the morning after surgery.
METHODS: In this retrospective cohort study, 602 patients who underwent prolapse surgery between January 2020 and September 2023 were included. In the early removal group (n = 309), the IUC was removed at midnight on the day of the surgery; in the late removal group (n = 293), it was removed the following morning. Information regarding risk factors for POUR and discharge time was retrieved and analyzed.
RESULTS: No differences regarding the risk of POUR were found between the early and late removal groups OR 1.05 (95% CI 0.68, 1.60). An increased Charlson Comorbidity Index (CCI), stage III and IV prolapse, longer surgery time, spinal anesthesia, and pain are considered independent risk factors for POUR; a higher body mass index (BMI) reduces the risk of POUR. Patients diagnosed and treated for urinary retention had a significantly higher chance of developing urinary tract infections during recovery. Patients within the early removal groups were discharged approximately 9 h earlier.
CONCLUSIONS: Midnight removal of the IUC after prolapse surgery does not lead to an increased incidence of POUR and is considered a safe alternative for catheter removal the following morning. In addition, this may contribute to more effective healthcare and optimization of hospital capacity.
METHODS: In this retrospective cohort study, 602 patients who underwent prolapse surgery between January 2020 and September 2023 were included. In the early removal group (n = 309), the IUC was removed at midnight on the day of the surgery; in the late removal group (n = 293), it was removed the following morning. Information regarding risk factors for POUR and discharge time was retrieved and analyzed.
RESULTS: No differences regarding the risk of POUR were found between the early and late removal groups OR 1.05 (95% CI 0.68, 1.60). An increased Charlson Comorbidity Index (CCI), stage III and IV prolapse, longer surgery time, spinal anesthesia, and pain are considered independent risk factors for POUR; a higher body mass index (BMI) reduces the risk of POUR. Patients diagnosed and treated for urinary retention had a significantly higher chance of developing urinary tract infections during recovery. Patients within the early removal groups were discharged approximately 9 h earlier.
CONCLUSIONS: Midnight removal of the IUC after prolapse surgery does not lead to an increased incidence of POUR and is considered a safe alternative for catheter removal the following morning. In addition, this may contribute to more effective healthcare and optimization of hospital capacity.