Evidence map›Paper›PMID 28856403›Full record

Trial reportInternational urogynecology journal2018

Comparison of clean intermittent and transurethral indwelling catheterization for the treatment of overt urinary retention after vaginal delivery: a multicentre randomized controlled clinical trial.

Femke E M Mulder, Robert A Hakvoort, Jan P de Bruin, Joris A M van der Post, Jan-Paul W R Roovers

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in International urogynecology journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  5. Review
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  10. Three-dimensional bladder ultrasonography with the BladderScanEuropean journal of obstetrics & gynecology and reproductive biology: X · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Femke E M MulderDepartment of Obstetrics and Gynaecology, Academic Medical Center, Meibergdreef 9 - room H4.240, 1105 AZ, Amsterdam, The Netherlands. f.e.mulder@amc.nl.ORCID http://orcid.org/0000-0002-2368-309X
Robert A HakvoortDepartment of Obstetrics and Gynaecology, Martini Ziekenhuis, Groningen, The Netherlands.
Jan P de BruinDepartment of Obstetrics and Gynaecology, Jeroen Bosch Ziekenhuis, Den Bosch, The Netherlands.
Joris A M van der PostDepartment of Obstetrics and Gynaecology, Academic Medical Center, Meibergdreef 9 - room H4.240, 1105 AZ, Amsterdam, The Netherlands.
Jan-Paul W R RooversDepartment of Obstetrics and Gynaecology, Academic Medical Center, Meibergdreef 9 - room H4.240, 1105 AZ, Amsterdam, The Netherlands.
Amsterdam UMC Location University of Amsterdam · NLJeroen Bosch Ziekenhuis · NLMartini Ziekenhuis · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisOvert postpartum urinary retention (PUR) is the inability to void after delivery and affects up to 7% of patients. Clean intermittent catheterization (CIC) and transurethral indwelling catheterization (TIC) are both standard treatments, but have not previously been compared. Clinical guidelines on postpartum bladder management are lacking.

methodsA total of 85 patients were randomised for TIC (n=45) and CIC (n=40). In total 68 patients (34 patients with TIC and 34 patients with CIC) completed the UDI-6 questionnaire 3 months after delivery.. Patients allocated to TIC received an indwelling catheter for 24 h and if necessary, another catheter for 48 h. Patients with CIC were intermittently catheterized or taught to self-catheterize until adequate voiding with a postvoid residual volume (PVRV) of <150 mL was achieved. The primary outcome was the presence of bothersome micturition symptoms as measured using the Dutch-validated Urogenital Distress Inventory (UDI-6).

resultsOnly seven patients (10%) reported bothersome micturition problems 3 months after delivery. No significant differences in the occurrence of micturition symptoms were found. Median PVRV was 800 mL in the CIC group and 650 mL in the TIC group. PVRV was ≥1,000 mL in 24% of the patients. The median duration of catheterization was significantly shorter in the CIC group than in the TIC group (12 h vs. 24 h, p < 0,01). In patients with CIC, 35% required only one catheterization before complete bladder emptying occurred. The duration of treatment was not related to the initial PVRV. Both treatments were equally well accepted by the patients.

conclusionsIn patients with overt PUR, CIC is the preferred treatment as a considerable percentage of patients appear to be over-treated when the standard duration of TIC is 24 h. The occurrence of micturition symptoms is not associated with the catheterization method used. CIC is well tolerated in patients with overt PUR.

Indexed as

Intermittent Urethral CatheterizationAdolescentAdultDelivery, ObstetricFemaleHumansNetherlandsPregnancyPuerperal DisordersUrinary BladderUrinary CatheterizationUrinary RetentionClean intermittent catheterizationMicturition symptomsPostpartum urinary retentionRandomized controlled trialTransurethral indwelling catheterizationVoiding dysfunction

Identifiers

PMID28856403
PMCPMC6132660
OpenAlexW2752446728

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.