Segal A I, Corlett R C
Am J Obstet Gynecol. 1979 Feb 15;133(4):366-70. doi: 10.1016/0002-9378(79)90052-8.
A group of 87 women who had either a retropubic suspension or anterior colporraphy with or without hysterectomy were studied to determine an optimal method of postoperative bladder training to facilitate recovery of normal bladder function. All patients received suprapubic catheters but 43 women had their catheters on constant open drainage while the remaining 44 patients were placed on an intermittent clamping regimen which was begun on the first postoperative day. The method of catheter management was selected randomly. Subgroups based on the operative procedure performed, patient age, and the presence or absence of postoperative infection were examined. In all groups of patients studied, those undergoing early intermittent clamping resumed normal micturition earlier than those who did not. It is recommended that this technique be utilized routinely in this group of patients to shorten the interval of time during which bladder drainage is required.
对87名接受耻骨后悬吊术或前路阴道修补术（伴或不伴子宫切除术）的女性进行了研究，以确定促进膀胱功能恢复正常的最佳术后膀胱训练方法。所有患者均接受耻骨上导尿，但43名女性的导尿管持续开放引流，其余44名患者术后第一天开始采用间歇性夹闭方案。导尿管管理方法随机选择。根据所进行的手术程序、患者年龄以及是否存在术后感染进行分组检查。在所有研究的患者组中，早期接受间歇性夹闭的患者比未接受间歇性夹闭的患者更早恢复正常排尿。建议在这类患者中常规使用该技术，以缩短需要膀胱引流的时间间隔。
