SynthesisInternational urogynecology journal2015
A systematic review and meta-analysis comparing immediate and delayed catheter removal following uncomplicated hysterectomy.
Synthesis in International urogynecology journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02765893 (Indwelling vs Immediate Removal of Foley Catheter After Robotic Assisted Laparoscopic Sacrocolpopexy), which is not on this map. Cited by 10 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Indwelling vs Immediate Removal of Foley Catheter After Robotic Assisted Laparoscopic Sacrocolpopexy: a Prospective Study
Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- Strategies for the removal of short-term indwelling urethral catheters in adults.The Cochrane database of systematic reviews · 2021Pooled it
- The timing of urinary catheter removal after gynecologic surgery: A meta-analysis of randomized controlled trials.Medicine · 2020Pooled it
- Immediate versus delayed removal of urinary catheter after laparoscopic hysterectomy: a randomised controlled trial.BJOG : an international journal of obstetrics and gynaecology · 2019Trial
- Early Catheter Removal Improves Recovery After Total Abdominal Hysterectomy: A Randomized Trial.International journal of women's health · 2026Article
- Enhanced Recovery after Surgery in Open Fetal Spina Bifida Repair.Fetal diagnosis and therapy · 2024Article
- The EUPEMEN (EUropean PErioperative MEdical Networking) Protocol for Bowel Obstruction: Recommendations for Perioperative Care.Journal of clinical medicine · 2023Article
- Effect of urinary catheter removal on different time after hysterectomy: a network meta-analysis.International urogynecology journal · 2022Review
- Paravertebral blocks and enhanced recovery after surgery protocols in breast reconstructive surgery: patient selection and perspectives.Journal of pain research · 2018Review
- Comparative analyses of postoperative complications and prognosis of different surgical procedures in stage II endometrial carcinoma treatment.OncoTargets and therapy · 2016Article
- Early versus Delayed Removal of Urinary Catheter after Laparoscopic Hysterectomy: Insights from a Prospective Observational Study.Journal of mid-life healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe use of an indwelling catheter after uncomplicated hysterectomy is common, but remains controversial because of the occurrence of catheter-associated urinary tract infections (UTIs) and discomfort.
objectiveTo examine the evidence on the benefits and harm from the use of an indwelling catheter after uncomplicated hysterectomy.
designSystematic review and meta-analysis of randomized controlled trials (RCTs). DATA SOURCES: Electronic databases including PubMed, Embase, the Cochrane Library, and Science Citation Index up to July 2014 were searched for relevant RCTs and the reference lists of the included studies were also searched manually. REVIEW
methodsIncluded studies were RCTs comparing immediate and delayed catheter removal following uncomplicated hysterectomy without concomitant pelvic floor surgery. Two independent reviewers identified relevant RCTs, assessed their methodological quality and extracted data. Mantel-Haenszel estimates were calculated and pooled using a fixed or random effects model data are expressed as relative risks (RRs) and 95% confidence intervals (CIs).
resultsTen RCTs with a total of 1,188 patients that met the inclusion criteria were analysed. Early catheter removal was associated with a reduced risk of positive urine culture (RR 0.60, 95% CI 0.40 to 0.88) and symptomatic UTI (RR 0.23, 95% CI 0.10 to 0.52). However, the incidence of recatheterization was lower among patients with delayed catheter removal (RR 3.32, 95% CI 1.48 to 7.46). There was no significant difference in febrile morbidity associated with UTI between the two approaches (RR 0.38, 95% CI 0.11 to 1.36). In addition, delayed catheter removal was associated with a longer time to first ambulation (standard mean difference -2.73, 95% CI -4.00 to -1.47].
conclusionsThe existing evidence from RCTs suggests that delayed catheter removal following uncomplicated hysterectomy increases the incidence of postoperative bacteriuria and symptomatic UTI but reduces the risk of recatheterization.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.