Research Journal of Pharmacy and Technology
SCOPUS
  • Year: 2024
  • Volume: 17
  • Issue: 9

Optimal timing of urinary catheter removal after cesarean section; Randomized controlled trial

  • Author:
  • Nancy Ahmed1, Hesham Torad2, Omar Nagy3,*, Ali Elsayed Khayal4, Kareem El-Nahhas3, Basma Farouk Hussein Mohamed3, Ahmed Samir Hamid Shaaban5, Nawal Hamdy Ahmed Keshta6, Hanan Barakat Abu Elyazid Shatat6, Rehab Abdelkhalek Ahmed Abdelkader6, Mahmoud Sedki Yassin Ali6, Maged Salah Eldien Elkady8, Marwa Yahia Mahmoud1
  • Total Page Count: 4
  • Page Number: 4597 to 4600

1Department of Obstetrics and Gynecology, Faculty of Medicine, Beni-suef University, Beni-Suef, Egypt

2Department of Urology, Faculty of Medicine, Cairo University, Cairo, Egypt

3Department of Reproductive Health and Family Planning, Medical Research and Clinical Studies Institute, National Research Centre, Egypt

4Department of Obstetrics and Gynecology at General Organization for Teaching Hospitals and Institutes, Matareya Teaching Hospital, Cairo, Egypt

5Department of Obstetrics and Gynecology, Faculty of Medicine, Al Azhar University, Cairo, Egypt

6Department of Obstetrics and Gynecology, Faculty of Medicine, Al Azhar University, Girls Branch, Cairo, Egypt

8Lecturer of Obstetrics and Gynecology, At Misr University for Science and Technology Must University, Egypt

*Corresponding Author E-mail: omarnagy72@proton.me

Online published on 30 April, 2025.

Abstract

Urethral catheterization plays a major role for reducing the likelihood of bladder damage and avoiding urinary retention before and after cesarean section, we aim to investigate the optimal time of removal catheter after cesarean section.

A total of 250 eligible women, who were eligible for either primary or repeat elective cesarean section, were randomly assigned to two equal groups in a prospective randomized controlled study. In group A, the catheter was removed two hours after the surgery, whereas in group B, the catheter was extracted after 12 hours.

Our study found that group of early catheter removal (2h) associated with lower events than delayed catheter removal (12h), early catheter removal (2h) associated with less bacteriuria, urinary retention, urgency, dysuria, burning on micturition and urinary frequency. We also found that early catheter removal (2h) over delayed catheter removal (12h) in postoperative outcomes as Postoperative mobilization, Postoperative oral rehydration, First postoperative voiding and Hospital stays.

Early removal of the catheter is associated with less bacteriuria, urinary retention, urgency, dysuria, burning on micturition, and urinary frequency and did not enhance the urinary tract infection.

Keywords

Earlycatheter, Delayed Catheter, Cesarean Section