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

Publication ,  Journal Article
Jannelli, ML; Wu, JM; Plunkett, LW; Williams, KS; Visco, AG
Published in: Am J Obstet Gynecol
July 2007

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.

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Published In

Am J Obstet Gynecol

DOI

EISSN

1097-6868

Publication Date

July 2007

Volume

197

Issue

1

Start / End Page

72.e1 / 72.e4

Location

United States

Related Subject Headings

  • Urogenital Surgical Procedures
  • Urinary Catheterization
  • Time Factors
  • Self Care
  • Risk Factors
  • Patient Satisfaction
  • Obstetrics & Reproductive Medicine
  • Middle Aged
  • Humans
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
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Jannelli, M. L., Wu, J. M., Plunkett, L. W., Williams, K. S., & Visco, A. G. (2007). A randomized controlled trial of clean intermittent self-catheterization versus suprapubic catheterization after urogynecologic surgery. Am J Obstet Gynecol, 197(1), 72.e1-72.e4. https://doi.org/10.1016/j.ajog.2007.02.043
Jannelli, Mary L., Jennifer M. Wu, Linda W. Plunkett, Kathryn S. Williams, and Anthony G. Visco. “A randomized controlled trial of clean intermittent self-catheterization versus suprapubic catheterization after urogynecologic surgery.Am J Obstet Gynecol 197, no. 1 (July 2007): 72.e1-72.e4. https://doi.org/10.1016/j.ajog.2007.02.043.
Jannelli ML, Wu JM, Plunkett LW, Williams KS, Visco AG. A randomized controlled trial of clean intermittent self-catheterization versus suprapubic catheterization after urogynecologic surgery. Am J Obstet Gynecol. 2007 Jul;197(1):72.e1-72.e4.
Jannelli, Mary L., et al. “A randomized controlled trial of clean intermittent self-catheterization versus suprapubic catheterization after urogynecologic surgery.Am J Obstet Gynecol, vol. 197, no. 1, July 2007, pp. 72.e1-72.e4. Pubmed, doi:10.1016/j.ajog.2007.02.043.
Jannelli ML, Wu JM, Plunkett LW, Williams KS, Visco AG. A randomized controlled trial of clean intermittent self-catheterization versus suprapubic catheterization after urogynecologic surgery. Am J Obstet Gynecol. 2007 Jul;197(1):72.e1-72.e4.
Journal cover image

Published In

Am J Obstet Gynecol

DOI

EISSN

1097-6868

Publication Date

July 2007

Volume

197

Issue

1

Start / End Page

72.e1 / 72.e4

Location

United States

Related Subject Headings

  • Urogenital Surgical Procedures
  • Urinary Catheterization
  • Time Factors
  • Self Care
  • Risk Factors
  • Patient Satisfaction
  • Obstetrics & Reproductive Medicine
  • Middle Aged
  • Humans
  • Female