Kringel Ute, Reimer Toralf, Tomczak Stefan, Green Sarah, Kundt Guenther, Gerber Bernd
Department of Obstetrics and Gynaecology, University of Rostock, Rostock, Germany.
Int Urogynecol J. 2010 Dec;21(12):1499-504. doi: 10.1007/s00192-010-1221-2. Epub 2010 Aug 4.
Different forms of urinary drainage are applied after anterior colporrhaphy. Suprapubic urinary catheter (SUC) and indwelling urinary catheter (IUC) for 2 to 96 h are preferred. If there is no difference in symptomatic urinary tract infection (SUTI) or complications between IUCs for 96 and 24 h, the latter will be considered sufficient. If IUCs have no higher rate of infections or complications compared to SUC for 96 h, the former could be considered sufficient.
It was a three-arm prospective, randomized study including 257 patients. The three arms were: IUCs for 24 h, IUCs for 96 h, and SUCs for 96 h.
We found no significant difference in SUTIs between all three groups. Although the SUC arm showed no SUTIs, a significant higher rate of complications was seen.
The optimal bladder catheter after anterior colporrhaphy was, in our trial, the IUC for 24 h.
阴道前壁修补术后采用不同形式的尿液引流。耻骨上膀胱造瘘管（SUC）和留置导尿管（IUC）留置2至96小时较为常用。如果96小时和24小时的IUC在症状性尿路感染（SUTI）或并发症方面没有差异，那么后者将被认为是足够的。如果IUC与96小时的SUC相比，感染或并发症发生率没有更高，那么前者也可被认为是足够的。
这是一项三臂前瞻性随机研究，纳入257例患者。三个研究组分别为：留置IUC 24小时组、留置IUC 96小时组和留置SUC 96小时组。
我们发现所有三组之间的SUTI无显著差异。虽然SUC组未出现SUTI，但并发症发生率显著更高。
在我们的试验中，阴道前壁修补术后最佳的膀胱导管是留置24小时的IUC。
