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239039

Early Versus Delayed Removal of Urinary Catheter After Pelvic Organ Prolapse Surgery and Vaginal Hysterectomy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Article

Last updated: 13 Jan 2025

OverviewSimilar Items

Subjects

-

Tags

3. General Gynaecology

Abstract

Introduction: There is no standard time for removing urinary catheters after pelvic organ prolapse (POP) surgeries and vaginal hysterectomy. We aimed to synthesize evidence about the benefits of early versus delayed catheter removal in decreasing post-operative complications after POP surgeries and vaginal hysterectomy.
Material and Methods: We searched the literature from inception till April 2019 using PubMed, Web of Science, Scopus, WHO Global Health Library (GHL), Virtual Health Library (VHL), System for Information on Grey Literature in Europe (SIGLE), POPLINE, and Cochrane Central Register of Controlled Trials (CENTRAL). We screened the retrieved records for their eligibility and extracted baseline and outcomes data. We performed quality assessment using the Cochrane risk of bias assessment tool. continuous data were pooled as mean difference (MD) and dichotomous data as relative risk (RR) with their corresponding 95% confidence intervals (CIs) in a random-effects model. We analyzed data using Review Manager 5.3 for windows.
Results: Nine studies (N= 1116 patients) were included in the final meta-analysis. Overall effect estimates favored early catheter removal group in comparison to delayed catheter removal group in the following outcomes; Urinary tract infection (UTI) (RR=0.42, 95% CI [0.24, 0.72], P=0.0002), Symptomatic urinary tract infection (SUTI) (RR=0.23, 95% CI [0.11, 0.48], P=0.0001), length of hospitalization (MD= -0.89, 95% CI [-1.26, -.52], P=0.0001). Whereas, the pooled effect estimates favored delayed removal group over the early removal group regarding re-catheterization (RR=2.75, 95% CI [1.86, 4.07], P=0.0001). There was no significant difference between the two groups regarding urinary retention (RR=1.45, 95% CI [0.80, 2.63], P=0.22).
Conclusion: Early catheter removal is better than delayed catheter removal in decreasing the risk of urinary tract infection, symptomatic urinary tract infection, the length of hospitalization. However, delayed catheter removal reduced post-operative re-catheterization events. The risk of urinary retention was comparable in the two study groups.

DOI

10.21608/ebwhj.2022.127684.1173

Keywords

Catheterization, delayed, early, Pelvic organ Prolapse, vaginal hysterectomy

Authors

First Name

Khaled

Last Name

Hammam

MiddleName

-

Affiliation

MBBCh, Medicine and Surgery, Faculty of Medicine and Surgery, October 6 University, Giza, Egypt. 2 International Medical Students Research Association

Email

khaledhammam@gmail.com

City

-

Orcid

-

First Name

Ahmed

Last Name

Ali

MiddleName

-

Affiliation

International Medical Students Research Association. MBBCh, Medicine and Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

Email

ahmedali@gmail.com

City

-

Orcid

-

First Name

Esraa

Last Name

Ayman

MiddleName

-

Affiliation

International Medical Students Research Association. MBBCh, Medicine and Surgery, Faculty of Medicine, Menoufia University, Menoufia, Egypt.

Email

esraaayman@gmail.com

City

-

Orcid

-

First Name

Shymaa

Last Name

Abdel Hamid

MiddleName

-

Affiliation

International Medical Students Research Association. MBBCh, Medicine and Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt.

Email

shymaa@gmail.com

City

-

Orcid

-

First Name

Hussien

Last Name

Se'eda

MiddleName

-

Affiliation

Minia Medical Research Society (MMRS), Minia University, Egypt Department of Medicine and Surgery, Faculty of Medicine

Email

-

City

-

Orcid

-

First Name

Sara

Last Name

Elsayed

MiddleName

-

Affiliation

MBBCh, Medicine and Surgery, Faculty of Medicine and Surgery, October 6 University, Giza, Egypt. International Medical Students Research Association

Email

saraelsayed@gmail.com

City

-

Orcid

-

First Name

Ahmad

Last Name

Anwar

MiddleName

-

Affiliation

Minia Medical Research Society (MMRS), Minia University, Egypt Department of Medicine and Surgery, Faculty of Medicine

Email

-

City

-

Orcid

-

First Name

Fatma

Last Name

Saad

MiddleName

-

Affiliation

Faculty of Pharmacy, Minia University, Egypt. Minia Medical Research Society (MMRS), Minia University, Egypt

Email

-

City

-

Orcid

-

First Name

Aya

Last Name

Ali

MiddleName

-

Affiliation

Minia Medical Research Society (MMRS), Minia University, Egypt Department of Medicine and Surgery, Faculty of Medicine

Email

-

City

-

Orcid

-

First Name

Mohamed

Last Name

Ramadan

MiddleName

-

Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Cairo University, Cairo, Egypt.

Email

mohamedramadan@gmail.com

City

-

Orcid

-

First Name

Amr

Last Name

Hussein

MiddleName

-

Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Cairo University, Cairo, Egypt.

Email

amrhusseinebwhj@gmail.com

City

-

Orcid

-

Volume

15

Article Issue

15

Related Issue

52902

Issue Date

2025-01-01

Receive Date

2022-03-15

Publish Date

2025-01-01

Page Start

1

Page End

12

Print ISSN

2090-7265

Online ISSN

2090-7257

Article File

EBWHJ_Volume 15_Issue 15_Pages 1-12.pdf

PDF . 498.1kB

Link

https://ebwhj.journals.ekb.eg/article_239039.html

Detail API

http://journals.ekb.eg?_action=service&article_code=239039

Order

47

Type

Original Article

Type Code

366

Publication Type

Journal

Publication Title

Evidence Based Women's Health Journal

Publication Link

https://ebwhj.journals.ekb.eg/

MainTitle

Early Versus Delayed Removal of Urinary Catheter After Pelvic Organ Prolapse Surgery and Vaginal Hysterectomy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Details

Type

Article

Created At

13 Jan 2025