TY - JOUR
T1 - Suprapubic Versus Transurethral Catheterization
T2 - Perioperative Outcomes After Colpocleisis
AU - Dicarlo-Meacham, Angela
AU - Dengler, Katherine
AU - Welch, Eva K.
AU - Hamade, Sara
AU - Olsen, Cara
AU - Horbach, Nicolette
AU - Welgoss, Jeffrey
AU - Mazloomdoost, Donna
AU - Von Pechmann, Walter
N1 - Publisher Copyright:
© American Urogynecologic Society. All rights reserved.
PY - 2022/3/1
Y1 - 2022/3/1
N2 - Objectives Transient postoperative urinary retention occurs in approximately half of women after colpocleisis; however, the optimal strategy for postoperative catheter management is unclear. This study compared length of catheterization and postoperative complications after colpocleisis between planned suprapubic catheter placement and transurethral catheterization. Methods This is a retrospective cohort study including all women undergoing colpocleisis from January 2015 to December 2019 in a large female pelvic medicine and reconstructive surgery practice. Women undergoing planned placement of a suprapubic catheter intraoperatively during colpocleisis and women who were discharged with a transurethral catheter after failing an active voiding trial postoperatively after colpocleisis were included. Women with surgical complications requiring prolonged catheterization and those needing catheterization before surgery were excluded. Length of catheterization and postoperative complications were compared between groups. Results Two hundred fifty-eight women underwent colpocleisis during the study time frame and 170 were eligible for analysis: With 78 in the planned suprapubic catheter group and 92 in the transurethral catheter group. Length of catheterization with suprapubic catheter placement was significantly longer than transurethral catheter placement with median catheter days of 11 (95% confidence interval [CI], 10-14) versus 7 (95% CI, 6-7), which persisted after adjustment (HR, 2.61, 95% CI, 1.85-3.68, P < 0.001). No significant differences were found in overall complications or urinary tract infections. Conclusions Suprapubic catheter placement at the time of colpocleisis is associated with increased length of catheterization postoperatively compared with transurethral catheter for management of postoperative urinary retention. These data can aid surgeons in preoperative counseling and shared decision making with patients.
AB - Objectives Transient postoperative urinary retention occurs in approximately half of women after colpocleisis; however, the optimal strategy for postoperative catheter management is unclear. This study compared length of catheterization and postoperative complications after colpocleisis between planned suprapubic catheter placement and transurethral catheterization. Methods This is a retrospective cohort study including all women undergoing colpocleisis from January 2015 to December 2019 in a large female pelvic medicine and reconstructive surgery practice. Women undergoing planned placement of a suprapubic catheter intraoperatively during colpocleisis and women who were discharged with a transurethral catheter after failing an active voiding trial postoperatively after colpocleisis were included. Women with surgical complications requiring prolonged catheterization and those needing catheterization before surgery were excluded. Length of catheterization and postoperative complications were compared between groups. Results Two hundred fifty-eight women underwent colpocleisis during the study time frame and 170 were eligible for analysis: With 78 in the planned suprapubic catheter group and 92 in the transurethral catheter group. Length of catheterization with suprapubic catheter placement was significantly longer than transurethral catheter placement with median catheter days of 11 (95% confidence interval [CI], 10-14) versus 7 (95% CI, 6-7), which persisted after adjustment (HR, 2.61, 95% CI, 1.85-3.68, P < 0.001). No significant differences were found in overall complications or urinary tract infections. Conclusions Suprapubic catheter placement at the time of colpocleisis is associated with increased length of catheterization postoperatively compared with transurethral catheter for management of postoperative urinary retention. These data can aid surgeons in preoperative counseling and shared decision making with patients.
KW - colpocleisis
KW - suprapubic catheter
KW - transurethral catheter
KW - urinary retention
UR - http://www.scopus.com/inward/record.url?scp=85126424443&partnerID=8YFLogxK
U2 - 10.1097/SPV.0000000000001167
DO - 10.1097/SPV.0000000000001167
M3 - Article
C2 - 35272321
AN - SCOPUS:85126424443
SN - 2151-8378
VL - 28
SP - 149
EP - 152
JO - Female Pelvic Medicine and Reconstructive Surgery
JF - Female Pelvic Medicine and Reconstructive Surgery
IS - 3
ER -