Andersen J T, Heisterberg L, Hebjørn S, Petersen K, Stampe Sørensen S, Fischer-Rasmussen W, Mølsted Pedersen L, Nielsen N C
Acta Obstet Gynecol Scand. 1985;64(2):139-43. doi: 10.3109/00016348509154707.
Ninety-two patients with preoperative sterile urine undergoing colposuspension or vaginal repair operation for stress urinary incontinence and/or genital descensus were randomized to either suprapubic or transurethral postoperative catheter drainage. The prevalence of significant bacteriuria on the fifth postoperative day was statistically significantly lower when using suprapubic catheter (20.8%) than with transurethral catheter drainage (45.5%). This applied especially to colposuspension. The rate of postoperatively impaired bladder emptying also tended to be reduced when using suprapubic catheter. At follow-up after one year, postoperative bacteriuria was closely correlated to increased rates of both clinical cystitis and asymptomatic significant bacteriuria. Thus it is recommended to use suprapubic bladder drainage not only after colposuspension but also after vaginal repair in an effort to avoid an increased risk of urinary infections.
92例术前尿无菌的患者因压力性尿失禁和/或生殖器脱垂接受了阴道前壁悬吊术或阴道修复手术，被随机分为耻骨上或经尿道术后导尿引流组。术后第5天，耻骨上导尿引流组（20.8%）的显著菌尿发生率在统计学上显著低于经尿道导尿引流组（45.5%）。这在阴道前壁悬吊术患者中尤为明显。使用耻骨上导尿时，术后膀胱排空障碍的发生率也有降低趋势。在术后一年的随访中，术后菌尿与临床膀胱炎和无症状显著菌尿的发生率增加密切相关。因此，建议不仅在阴道前壁悬吊术后，而且在阴道修复术后使用耻骨上膀胱引流，以避免尿路感染风险增加。
