The effect of suprapubic catheterization versus transurethral catheterization after abdominal surgery on XXXX : a randomized controlled trial.

@entity1 @entity295 @entity293 @entity260
BACKGROUND/AIM: Transurethral catheterization is generally associated with a higher incidence of @entity293 than suprapubic catheterization; however, suprapubic catheterization is associated with other disadvantages such as higher costs and a more difficult technique, and at the moment there is no consensus about the use of both catheter systems. Therefore, a prospective randomized study was performed to investigate the effects of suprapubic catheterization and transurethral catheterization in @entity1 undergoing surgery on the incidence of @entity293 and @entity1 satisfaction. METHODS: @entity1 who underwent an elective laparotomy were randomized and received a suprapubic or transurethral catheter. The primary end point was @entity293 . Other parameters of @entity293 , as well as duration of catheterization, hospital stay, and number of recatheterizations and of relaparotomies were monitored. Treatment 'per protocol' was also analyzed after exclusion of @entity1 receiving another catheter than randomized for. @entity1 were asked for their satisfaction with the catheters and complaints during and after catheterization. RESULTS: 165 @entity1 were eligible, of whom 19 @entity1 had to be excluded. 75 @entity1 were allocated to receive the suprapubic catheter and 71 the transurethral catheter. There was no difference in the incidence of a @entity293 between the suprapubic group (n = 9/75; 12%) and the transurethral group (n = 8/71; 11%). Most @entity1 (6/9) who developed a @entity293 in the suprapubic group, however, underwent recatheterization because of @entity260 / @entity295 and relaparotomy. The incidence of @entity293 in @entity1 who received a suprapubic catheter and not a transurethral catheter was 3/59 (5%). The @entity1 did not differ with respect to satisfaction and complaints. Being a @entity1 , recatheterization and duration of catheterization are risk factors. CONCLUSIONS: The incidence of a @entity293 between a suprapubic catheter and a transurethral catheter in @entity1 undergoing major surgery was not different. A potential advantage of the suprapubic catheter ( @entity293 ) is probably partly negated, because transurethral catheters were used if recatheterization was indicated during the postoperative stay or due to complications.
