The Preferred Catheter Type After Prolapse Surgery: A Survey Study of Surgeons

• Published in: Female pelvic medicine & reconstructive surgery Vol. 27; no. 1; pp. 34 - 38
• Main Authors: Kulkarni, Anjali, McDermott, Colleen D.
• Format: Journal Article
• Language: English
• Published: United States Lippincott Williams & Wilkins 01-01-2021; Copyright Wolters Kluwer Health, Inc. All rights reserved
• ISSN: 2151-8378; 2154-4212
• DOI: 10.1097/SPV.0000000000000724

OBJECTIVEThe aim of this study was to determine surgeon preference for catheter type in the management of postoperative urinary retention after prolapse surgery, specifically comparing transurethral indwelling catheters (TIC), clean intermittent self-catheterization (CISC), and suprapubic tubes (SPT).
METHODSElectronic surveys were sent to 1182 urogynecologists and urologists through the American Urogynecologic Society and the Canadian Society of Pelvic Medicine.
RESULTSA total of 247 (21%) surveys were completed, where 53% of the respondents ranked TIC as the best catheter option, compared with 42% for CISC and 4% for SPT (P < 0.0001). Most (75%) of the respondents stated they do not offer their patients a choice in catheter selection. Most (43%) of the respondents ranked ease of use for the patient as the most important catheter characteristic. For ease of use for the patient, 71% of the respondents ranked TIC as the best, compared with CISC and SPT. For all other characteristics (pain/discomfort, infection, catheter malfunction, and return of bladder function), CISC was ranked as the best by the majority.
CONCLUSIONSThis study showed that surgeons have a significant preference for TIC over CISC and SPT for the management of postoperative urinary retention, and the majority of surgeons do not offer their patients a choice with regard to catheter type.