Department of Obstetrics and Gynecology, Deventer Ziekenhuis, Deventer, The Netherlands.
Gynecol Obstet Invest. 2011;72(2):109-16. doi: 10.1159/000323827. Epub 2011 Feb 18.
To compare the effect of suprapubic and transurethral catheterization on postvoid residual volumes (PRVs) after cystocele repair.
126 women who underwent pelvic organ prolapse surgery including cystocele repair were randomized to suprapubic or transurethral catheterization. At the third postoperative day, PRVs were measured. The number of women with PRV >150 ml, need for prolonged catheterization, recatheterization, length of hospital stay, frequency of urinary tract infections and complications were determined.
PRVs exceeded 150 ml in 13 out of 64 (20%) and 14 out of 62 (23%) women in the suprapubic and transurethral group, respectively (p = 0.76). In the suprapubic group a higher rate of urine leakage was noted (27 vs. 7%, p = 0.003). 10 women (16%) allocated to the suprapubic group switched to transurethral catheterization, because of problems with the suprapubic catheter. No protocol deviations were reported in the transurethral group. Of the women in both groups, 9% developed urinary tract infections (p = 0.93).
Suprapubic catheterization was comparable to transurethral catheterization in the prevention of postoperative voiding dysfunction after vaginal prolapse surgery, but it was associated with a higher rate of complications.
比较耻骨上和经尿道导尿管插入术对阴道膨出手术后残余尿量（PRV）的影响。
将 126 名接受盆腔器官脱垂手术（包括阴道膨出修复术）的女性随机分为耻骨上和经尿道导尿管插入组。在术后第 3 天测量 PRV。确定 PRV>150ml、需要延长导尿管留置时间、重新导尿、住院时间、尿路感染和并发症的女性人数。
耻骨上组 64 名女性中有 13 名（20%）和经尿道组 62 名女性中有 14 名（23%）PRV>150ml（p=0.76）。耻骨上组尿漏发生率较高（27%比 7%，p=0.003）。10 名（16%）被分配到耻骨上组的女性因耻骨上导管问题改为经尿道导尿管插入。经尿道组没有报告方案偏差。两组中有 9%的女性发生尿路感染（p=0.93）。
耻骨上导尿管插入术与经尿道导尿管插入术预防阴道脱垂手术后排尿功能障碍的效果相当，但与更高的并发症发生率相关。
