Schiøtz H A
Department of Obstetrics and Gynecology, Vestfold Central Hospital, Tønsberg, Norway.
Int Urogynecol J Pelvic Floor Dysfunct. 1996;7(2):98-101. doi: 10.1007/BF01902381.
This prospective study was done to see if reducing transurethral Foley catheterization from 3 days to 1 would lead to fewer urinary tract infections without an increase in voiding problems. Ninety-one women undergoing retropubic surgery for stress urinary incontinence (Burch or Marshall-Marchetti-Krantz) were randomized to either 1 or 3 days' catheterization. Antibiotics were not used. Infection was diagnosed in 9 (20.0%) patients in the 1-day group and in 16 (34.8%) in the 3-day group. Delayed voiding occurred in 13 (28.9%) and 10 (21.7%) patients, respectively, and 5 (11.1%) and 3 (6.5%), respectively, received a new catheter. The differences do not reach statistical significance. Therefore, catheter time may safely be reduced to 1 day. This may lead to fewer infections but also somewhat more voiding problems. If a transurethral catheter is to be used, on balance the two regimens are equivalent.
本前瞻性研究旨在探讨将经尿道留置 Foley 导尿管的时间从 3 天减至 1 天是否会减少尿路感染，同时又不会增加排尿问题。91 名因压力性尿失禁接受耻骨后手术（Burch 或 Marshall-Marchetti-Krantz 手术）的女性被随机分为导尿管留置 1 天组或 3 天组。未使用抗生素。1 天组有 9 名（20.0%）患者被诊断感染，3 天组有 16 名（34.8%）患者被诊断感染。分别有 13 名（28.9%）和 10 名（21.7%）患者出现排尿延迟，分别有 5 名（11.1%）和 3 名（6.5%）患者需要重新留置导尿管。这些差异未达到统计学显著性。因此，导尿管留置时间可安全地减至 1 天。这可能会减少感染，但也会导致更多的排尿问题。如果要使用经尿道导尿管，总体而言这两种方案是等效的。
