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The Preferred Catheter Type After Prolapse Surgery

A Survey Study of Surgeons

Kulkarni, Anjali, MSc, MD*; McDermott, Colleen D., MSc, MD, FRCSC*†

Female Pelvic Medicine & Reconstructive Surgery: April 11, 2019 - Volume Publish Ahead of Print - Issue - p
doi: 10.1097/SPV.0000000000000724
Original Article: PDF Only
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Objective The aim of this study was to determine surgeon preference for catheter type in the management of postoperative urinary retention after prolapse surgery, specifically comparing transurethral indwelling catheters (TIC), clean intermittent self-catheterization (CISC), and suprapubic tubes (SPT).

Methods Electronic surveys were sent to 1182 urogynecologists and urologists through the American Urogynecologic Society and the Canadian Society of Pelvic Medicine.

Results A total of 247 (21%) surveys were completed, where 53% of the respondents ranked TIC as the best catheter option, compared with 42% for CISC and 4% for SPT (P < 0.0001). Most (75%) of the respondents stated they do not offer their patients a choice in catheter selection. Most (43%) of the respondents ranked ease of use for the patient as the most important catheter characteristic. For ease of use for the patient, 71% of the respondents ranked TIC as the best, compared with CISC and SPT. For all other characteristics (pain/discomfort, infection, catheter malfunction, and return of bladder function), CISC was ranked as the best by the majority.

Conclusions This study showed that surgeons have a significant preference for TIC over CISC and SPT for the management of postoperative urinary retention, and the majority of surgeons do not offer their patients a choice with regard to catheter type.

From the *Department of Obstetrics and Gynaecology, University of Toronto;

Division of Female Pelvic Medicine and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada.

Correspondence: Colleen D. McDermott, MSc, MD, FRCSC, Mount Sinai Hospital, 8-815, 700 University Avenue, Toronto, Ontario, Canada. E-mail: colleen.mcdermott@utoronto.ca.

The authors have declared they have no conflicts of interest.

Supplemental digital contents are available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (www.fpmrs.net).

Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.