The Third Clinical College of Guangzhou Medical University, The Nursing College of Guangzhou Medical University, 195 West Dongfeng Road, Guangzhou, 510182, China.
Department of Obstetrics and Gynecology, Obstetrics, Guangdong-Hong Kong-Macao Greater Bay Area Higher Education Joint Laboratory of Maternal-Fetal Medicine, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Int Urogynecol J. 2024 Jul;35(7):1337-1346. doi: 10.1007/s00192-024-05827-y. Epub 2024 Jun 10.
Catheterization is a common treatment for postpartum urinary retention (PUR); however, its application before diagnosis of PUR remains unclear. The aim was to give an overview of the existing literature on the effectiveness and safety of intrapartum or postpartum catheterization in the prevention of PUR.
This scoping review followed a methodological framework. PubMed, the Cochrane Library, Embase, Web of Science, the China National Knowledge Infrastructure, WanFang, the China Science and Technology Journal Database, and the China Biomedical Literature Database were searched from the inception of each database to 21 May 2023.
The search revealed 16 studies examining three different catheterization methodologies, including 12 intrapartum studies. Ten studies concluded that intrapartum or postpartum catheterization prevented PUR, two of which were only for overt or covert PUR. In 4 out of 13 experimental studies, no significant difference was found: one for intrapartum catheterization versus routine nursing, the other for intrapartum or postpartum intermittent versus indwelling catheterization. However, one found that postpartum disposable catheterization after ineffective targeted care reduced the incidence of PUR compared with indwelling catheterization. One out of the 3 case-control studies concluded that prenatal catheterization ≥2 times was a risk factor for PUR.
Based on the findings in this scoping review, catheterization prior to the diagnosis of PUR appears to play a role in preventing PUR and is safe. Preliminary evidence is accumulating on the effectiveness of three types of catheterization methods in preventing PUR, but more comprehensive studies are needed to establish these findings.
导尿是产后尿潴留（PUR）的常见治疗方法；然而，在 PUR 诊断之前应用导尿的情况尚不清楚。本研究旨在对现有文献进行综述，以了解产时或产后导尿在预防 PUR 方面的有效性和安全性。
本 scoping 综述遵循方法学框架。从每个数据库的创建到 2023 年 5 月 21 日，检索了 PubMed、Cochrane 图书馆、Embase、Web of Science、中国国家知识基础设施、万方、中国科技期刊数据库和中国生物医学文献数据库。
搜索结果显示有 16 项研究检查了三种不同的导尿方法，包括 12 项产时研究。10 项研究得出结论，产时或产后导尿可预防 PUR，其中 2 项仅针对显性或隐性 PUR。在 13 项实验研究中，有 4 项未发现显著差异：一项是产时导尿与常规护理的比较，另一项是产时或产后间歇性与留置导尿的比较。然而，有一项研究发现，在无效的针对性护理后，与留置导尿相比，产后使用一次性导尿管可降低 PUR 的发生率。3 项病例对照研究中有 1 项得出结论，产前导尿≥2 次是 PUR 的危险因素。
根据本 scoping 综述的研究结果，在 PUR 诊断之前进行导尿似乎在预防 PUR 方面发挥了作用，且安全。三种导尿方法在预防 PUR 方面的有效性的初步证据正在积累，但需要更多全面的研究来证实这些发现。
