Early post-operative removal of urethral catheter in patients undergoing colorectal surgery with epidural analgesia – a prospective pilot clinical study

International Journal of Surgery
David CoyleMyles R Joyce

Abstract

Urethral catheter (UC) removal is often delayed following colorectal resection due to the perceived increased risk of post-operative urinary retention (POUR) in patients with post-operative epidural analgesia (POEA). We aimed to determine if UC removal at 48 h, irrespective of ongoing POEA use, altered the risk of POUR and other morbidities associated with urethral catheterisation and immobility. We performed a prospective randomised controlled pilot clinical study. Eligible patients were randomised to an experimental arm, SG1 (UC removal 48 h post-operatively), or a control arm, SG2 (UC removed following cessation of POEA). Rates of POUR, urinary tract infection (UTI), pulmonary complications and surgical site infection (SSI) were recorded. Forty-four patients were recruited (SG1: n = 22; SG2: n = 22). No females developed POUR, while it occurred in three males (20%) in SG1 and 2 males (22.2%) in SG2. All patients who developed POUR had undergone rectal resection. Males in SG1 were not at significantly increased risk of POUR compared to those in SG2 (R.R 0.875, p = 1). No patient developed UTI post-operatively. The rate of pulmonary complications (SG1: n = 2; SG2: n = 3, p = 0.229) and SSI (SG1: n = 5; SG2: n = 2, p = 0.146) w...Continue Reading

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Citations

Jul 22, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·K J ZhuM J Solomon
Nov 11, 2019·International Journal of Colorectal Disease·Yung LeeCagla Eskicioglu
May 18, 2020·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Sephalie PatelDaniel A Anaya
Jun 30, 2021·The Cochrane Database of Systematic Reviews·Awaiss EllahiMuhammad Imran Omar

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