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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE
A Journal on Internal Medicine and Pharmacology
Indexed/Abstracted in: BIOSIS Previews, EMBASE, Scopus, Emerging Sources Citation Index
Gazzetta Medica Italiana Archivio per le Scienze Mediche 2009 April;168(2):101-104
Postoperative voiding efficacy after surgery for urine incontinency and uterine prolapse
Kokabi R., Fereidouni Z., Meshkibaf M. H.
1 Department of Gynecology Fasa University of Medical Sciences Fars, Fasa, Iran
2 Department of Nursing Fasa University of Medical Sciences Fars, Fasa, Iran
3 Department of Biochemistry Fasa University of Medical Sciences Fars, Fasa, Iran
Aim. The aim of this study is to determine the most effective time to remove the urinary catheter (Foley) after anterior and posterior colporrhaphy surgery. Patients who experience various operations for genuine stress incontinency or pelvic organ prolapsed will have post operative voiding dysfunction, these patients needs an immediate postoperative drainage. One of the method used for this purpose, is to apply Foley Catheter, but there is no particular regimen available for the exact time of catheter removal in these patients. We have tried to find out the period of time needed to keep Foley catheter after which the repeated Foley catheter require is minimized.
Methods. In this study 189 patients who underwent colporraphy have been selected randomly and divided in to three groups of 1,2 & 4 days of catheter removal. In all the three groups before removing of urinary catheter the catheter was clamp every 4 hrs , for 3 times. The patients were guided for urination after removing of Foley, the voiding and residual volume were collected and measured.
Results. With increase in residual volume the repeated Foley requirement were increased, 5.6% of the patients with less than 33 percent of residual volume, 23.9% of the patients with 33% to 68% of residual volume and 64.8% of the patients with above 68% of residual volume had repeated Foley requirements. When considering number of days, 85%, 65% and 35.7% of the patients needed repeated Foley after 1, 2, and 4 days of catheter removal respectively. In general as a result shows repeated Foley requirement in a group of patients with less than 33% of residual volume and after 4 days of catheter removal was nil, with no increase risk of urinary infection.
Conclusion. With these study we suggest that after anterior and posterior colporrhaphy surgery the optimum time required to remove the urinary Foley catheter is 4 days, so maximum number of the patients do not needs to have repeated Foley.