Minerva Chirurgica 2020 Sep 25

DOI: 10.23736/S0026-4733.20.08341-8

Copyright © 2020 EDIZIONI MINERVA MEDICA

lingua: Inglese

Urinary catheter in colorectal surgery. Current practices and improvements in order to allow prompt removal: a cross-sectional study

Xavier SERRA-ARACIL ^{1, 2} ✉, Arturo DOMÍNGUEZ ³, Laura MORA-LÓPEZ ^{1, 2}, José HIDALGO ^{1, 2}, Anna PALLISERA-LLOVERAS ^{1, 2}, Sheila SERRA-PLA ^{1, 2}, Jesus BADIA-CLOSA ^{1, 2}, Albert GARCIA-NALDA ^{1, 2}, Salvador NAVARRO-SOTO ^{1, 2}

¹ Department of Colorectal Surgery, Parc Taulí University Hospital, Universitat Autònoma de Barcelona (UAB), Sabadell, Spain; ² Department of General and Digestive Surgery, Parc Taulí University Hospital, Universitat Autònoma de Barcelona (UAB), Sabadell, Spain; ³ Department of Urology, Parc Taulí University Hospital, Universitat Autònoma de Barcelona (UAB), Sabadell, Spain

INTRODUCTION: Despite the publication of the Guidelines for Enhanced Recovery After Surgery (ERAS), attitudes to urinary catheter (UC) management vary widely in colorectal surgery. Objective: The aim of the present study is to define current practices in UC management in colorectal surgery.
METHODS: Cross-sectional observational study carried out in March-April 2019, based on the responses to a survey administered to public hospitals in Catalonia. Respondents were asked about their observance of ERAS programs, the percentage of laparoscopic procedures performed, and the time of UC withdrawal in surgery of the colon and rectum.
RESULTS: Forty-three of 45 hospitals contacted eventually responded (95.6%). As two hospitals reported that they did not perform colorectal surgery, the study is based on the results from 41 centers. Thirty-five (85.4%) reported following ERAS programs; 30 (73.2%) have Coloproctology units, and 39 (95.1%) perform more than 70% of colorectal surgeries by laparoscopy. In colon surgery, 27 (65.9%) remove the UC at 24 h, and 12 (29.3%) on day 2 or day 3. In rectal surgery, 17 (58.6%) remove the UC on day 2-3.
CONCLUSIONS: Management of UC in colon and rectal surgery varies widely. There is clearly room for improvement in UC management, but needs to be thoroughly assessed in randomized multicenter studies.

KEY WORDS: Urinary catheter; Urinary retention; Urinary tract infection; Colorectal surgery