Effect of immediate versus late removal of catheter after Total Abdominal Hysterectomy
DOI:
https://doi.org/10.70749/ijbr.v3i6.2962Keywords:
Catheterization, Hysterectomy, Postoperative complications, Urinary retention, Urinary tract infectionsAbstract
Background: Total abdominal hysterectomy is commonly performed for benign gynecological diseases. Timing of urinary catheter removal after surgery remain controversial because early removal may cause urinary retention while late removal may increase risk of urinary tract infection. Objective: To compare frequency of recatherization and urinary tract infection in immediate versus late catheter removal after total abdominal hysterectomy. Study Design: Randomized controlled trial. Duration and Place of Study: This study was conducted from 11 December 2024 to 11 May 2025 at Department of Obstetrics and Gynaecology, Saidu Group of Teaching Hospital Swat. Methodology: Total 176 women undergoing total abdominal hysterectomy for benign conditions were included. Patients were divided into two groups by blocked randomization, 88 in immediate removal group and 88 in late removal group. Immediate removal was done within 24 hours and late removal after 24 hours of surgery. Results: Mean age in immediate group was 33.81 ± 8.18 years and in late group was 36.56 ± 8.69 years. Recatherization occurred in 10.2% patients in immediate group and 2.3% in late group (p = 0.057). Urinary tract infection was found in 10.2% in immediate group and 20.5% in late group (p = 0.060). Higher body mass index >25 kg/m² (p = 0.027), rural residence (p = 0.031) and low socioeconomic status (p = 0.048) showed significant association with urinary tract infection in late removal group. Conclusion: Immediate catheter removal show more recatherization while late removal show more urinary tract infection.
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