A randomized controlled trial of clean intermittent self-catheterization versus suprapubic catheterization after urogynecologic surgery.

Published

Journal Article

OBJECTIVE: The purpose of this study was to compare the risk of significant bacteruria between clean intermittent self-catheterization (CISC) and suprapubic catheterization (SPC) after urogynecologic surgery. STUDY DESIGN: Patients were randomized to CISC or SPC. A urinalysis and patient satisfaction questionnaire were conducted on postoperative days 2 and 7. Urine culture was performed for positive urinalysis. Significant bacteruria was defined as > 100,000 cfu/mL. To detect a decrease in bacteruria risk from 25% to 10%, 113 subjects per group were needed with 80% power and alpha of 0.05. RESULTS: Of 248 randomized patients, 210 were included in the final analysis. The overall risk of bacteruria was 27% with no difference between SPC and CISC (31% vs 23%, P = .23). Patients reported more frustration (P = .01) and more difficulty (P = .003) using CISC. CONCLUSION: There was no difference in risk of significant bacteruria between CISC and SPC. Patients reported more frustration and difficulty with self-catheterization.

Full Text

Duke Authors

Cited Authors

  • Jannelli, ML; Wu, JM; Plunkett, LW; Williams, KS; Visco, AG

Published Date

  • July 2007

Published In

Volume / Issue

  • 197 / 1

Start / End Page

  • 72.e1 - 72.e4

PubMed ID

  • 17618764

Pubmed Central ID

  • 17618764

Electronic International Standard Serial Number (EISSN)

  • 1097-6868

International Standard Serial Number (ISSN)

  • 0002-9378

Digital Object Identifier (DOI)

  • 10.1016/j.ajog.2007.02.043

Language

  • eng