When Should We Remove Urinary Catheter After TVT Procedure?
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SURGERY
When Should We Remove Urinary Catheter After TVT Procedure? Adeviye Elçi Atılgan 1
&
Fatma Kılıç 2 & Arif Aydın 3 & Şükriye Leyla Altuntaş 1
Accepted: 6 August 2020 # Springer Nature Switzerland AG 2020
Abstract As like most gynecologic operations, after tension-free vaginal tape, urinary catheter usually has been stayed to prevent postoperative urinary retention. Our aim at this study was to compare effects of early versus delayed catheter removal after tension-free vaginal tape. Patients with stress urinary incontinence observed with cough stress test or intrinsic sphincter deficiency detected on urodynamic evaluation were included. Patients with pelvic organ prolapse, positive or unavailable preoperative urine culture report, comorbid systemic illness, and TVT performed with benign or malign gynecologic surgeries were excluded from the study. Computer-generated randomization was used, and allocation group was kept in closed envelope: group I: catheter removed within first 6 h after surgery (0–6 h) and group II: catheter removed 24 h later. Seventy patients performed TVT for stress urinary incontinence were enrolled in this study and equally assigned to two groups. Of 35, 4 patients (11.4%) required recatheterization in group I while no one from late removal group. Twelve patients (34.2%) had positive culture at day 2 postoperative from group II as compared with 4 patients (11.4%) of group I (P = 0.042). Both of the two groups’ success rate after postoperative 2 weeks examination with cough-stress test was similar to 32 patients (91.4%) for group I whereas 33 patients (94.2%) for group II. Early removing of catheter after TVT did not affect operation success rate. It was also associated with a lower incidence of urinary tract infections and lower incidence of positive urine culture. Beside this, there was no adverse outcome like significant rate of recatheterization. Keywords Stress urinary incontinence . Tension-free vaginal tape . Voiding dysfunction
Introduction This article is part of the Topical Collection on Surgery Brief Summary: Early catheter removal after TVT did not affect operation success rate. Also it was associated with lower incidence of urinary tract infections and recatheterization. * Adeviye Elçi Atılgan [email protected] Fatma Kılıç [email protected] Arif Aydın [email protected] Şükriye Leyla Altuntaş [email protected] 1
Faculty of Medicine, Department of Obstetry and Gynecology, İstanbul Medipol Üniversity, İstanbul, Turkey
2
Faculty of Medicine, Department of Obstetry and Gynaecology, Necmettin Erbakan Üniversity Meram, Konya, Turkey
3
Faculty of Medicine, Department of Urology, Necmettin Erbakan Üniversity Meram, Konya, Turkey
Stress urinary incontinence (SUI) is common with a prevalence of 10 to 30% women in the world [1].The average prevalence of a woman operated for SUI is 13.6% during her life [1–3]. The reports show that success rate of tension-free vaginal tape (TVT) procedure for SUI is 90% currently.2As in other gynecologic operations,
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