E-Posters-10245

Pdf Summary

A randomized control trial was conducted to compare the outcomes of indwelling Foley catheter versus immediate removal after robotic assisted laparoscopic sacrocolpopexy. The study included women who underwent the procedure at a specific institution between December 2015 and May 2017. Patients were randomized into two groups: the Control group, where the Foley catheter was removed 6 hours postoperatively, and the Intervention group, where the catheter removal occurred on postoperative day #1. The primary outcome measured was the rate of urinary retention in each group, and secondary outcomes included urinary tract infections (UTIs) and other postoperative complications within 30 days. <br /><br />The study found that removal of the Foley catheter 6 hours postoperatively was associated with a higher rate of urinary retention compared to removal on postoperative day #1. Furthermore, the Intervention group had a higher rate of UTIs due to increased urethral instrumentation and prolonged catheter placement. <br /><br />The results of this study are consistent with a previous study that focused on single incision sling placement during robotic sacrocolpopexy. In that study, no cases of urinary retention were observed when the catheter was removed on postoperative day #1. <br /><br />The study highlights the importance of minimizing the duration of indwelling catheters to reduce the risk of catheter-associated urinary tract infections (CAUTIs). The Centers for Disease Control and Prevention (CDC) has emphasized the need to decrease catheter duration to mitigate CAUTI risk. Short-term placement of catheters (less than 24 hours) showed that the rate of UTIs was determined by the number of urethral manipulations. <br /><br />The strengths of the study include its randomized controlled design, a diverse population, and a high follow-up rate. However, the study's limitation is that it was conducted at a single center. <br /><br />In conclusion, for patients undergoing robotic sacrocolpopexy, it is not advantageous to remove the Foley catheter at 6 hours postoperatively as this is associated with an increased rate of urinary retention. Immediate removal on postoperative day #1 is a better approach to minimize complications.

Meta Tag

Concept Robotic-Assisted Sacrocolpopexy

Concept Chronic Foley Catheterization

Concept Urinary Retention

Concept Catheter Removal Timing

Concept Randomized Trial

Keywords

randomized control trial

indwelling Foley catheter

immediate removal

robotic assisted laparoscopic sacrocolpopexy

urinary retention

urinary tract infections

postoperative complications

postoperative day #1

catheter-associated urinary tract infections

CAUTIs

Robotic-Assisted Sacrocolpopexy

Chronic Foley Catheterization

Urinary Retention

Catheter Removal Timing

Randomized Trial