E-Posters-10245

10245_Popiel

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.

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