Vierhout M E
Department of Obstetrics & Gynecology, Ikazia Hospital, Rotterdam, The Netherlands.
Acta Obstet Gynecol Scand. 1998 Nov;77(10):997-9.
To evaluate the domestic use of a transurethral Foley catheter after discharge from the hospital in patients with urinary retention after vaginal prolapse surgery.
We reviewed 27 patients who used a Foley catheter at home after prolapse surgery. All patients were interviewed by postal questionnaire regarding their experience of this procedure.
Of 263 vaginal prolapse operations 27 (11%) needed a prolonged catheterization period at home. In all but two patients micturition was successfully restored after removal of the catheter at a median of 13 days after discharge. Thirty-seven percent of the patients had experienced the catheterization period as unpleasant. Seventy-nine percent experienced no longterm bladder emptying problems, the others only mild and occasionally.
Domestic use of a transurethral Foley catheter is a valid alternative to intermittent or suprapubic catheterization when normal micturition is not easily restored after vaginal prolapse surgery. It is, however, experienced as relatively unpleasant by more than one third of the patients.
评估阴道脱垂手术后尿潴留患者出院后在家中使用经尿道Foley导尿管的情况。
我们回顾了27例脱垂手术后在家中使用Foley导尿管的患者。通过邮寄问卷对所有患者进行了关于该操作体验的访谈。
在263例阴道脱垂手术中，27例（11%）需要在家中延长导尿时间。除2例患者外，其余患者在出院后中位时间13天拔除导尿管后排尿成功恢复。37%的患者认为导尿期不愉快。79%的患者没有长期膀胱排空问题，其他患者只有轻微且偶尔出现的问题。
当阴道脱垂手术后正常排尿不易恢复时，在家中使用经尿道Foley导尿管是间歇性导尿或耻骨上导尿的有效替代方法。然而，超过三分之一的患者认为这种方法相对不愉快。
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