Removal time of postoperative vesical catheter in utero-vaginal prolapse surgery: a comparative study

Abstract

Vaginal reconstruction surgery in pelvic organ prolapse (POP) has its own intra-operative complications, such as bleeding, vaginal infection, bladder, ureteral, or intestinal injury; and postoperative complications, such as febrile morbidity, urinary retention, and urinary tract infections.In vaginal prolapse surgery, transurethral bladder catheterization is used to control urinary output, reduce the possibility of bladder injury, and prevent post-operative urinary retention. Traditionally, two types of urinary catheters are used. Transurethral catheters, that would remain in place for at least 24 hours to avoid acute post-operative urinary retention (AUR), and suprapubic catheters, placed through the abdomen to reduce the risk of urinary tract infection (UTI). The duration of the catheter stay in the bladder has been reduced over the years. Generally, it is based on personalized knowledge rather than evidence-based knowledge. All this leads to the fact that the catheter durations in the bladder vary considerably. It