Comparison of clean intermittent and transurethral indwelling catheterization for the treatment of overt urinary retention after vaginal delivery: a multicentre randomized controlled clinical trial
Introduction and hypothesis Overt 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 compar...
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| Veröffentlicht in: | International Urogynecology Journal 2018-09, Vol.29 (9), p.1281-1287 |
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| creator | Mulder, Femke E. M. Hakvoort, Robert A. de Bruin, Jan P. van der Post, Joris A. M. Roovers, Jan-Paul W. R. |
| description | Introduction and hypothesis
Overt 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.
Methods
A 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 |
| doi_str_mv | 10.1007/s00192-017-3452-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6132660</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1934287763</sourcerecordid><originalsourceid>FETCH-LOGICAL-c470t-fc2dd4a1b0ba62340003b8e34a7291ffb1288765496cfb26bbcf3b7831a505a73</originalsourceid><addsrcrecordid>eNp1Ustu1DAUjRCITgsfwAZZYsMm4EdiT1ggoREFpEpsYG3dOM6MK8cebGeq6f_xX9wwpTwkVrbuedyHTlU9Y_QVo1S9zpSyjteUqVo0La-PD6oVa4SoBeXiYbWinVgQyc-q85yvKaUNbenj6oyv161sqFhV3zdx2kNyOQYSR2K8hUBcKDZNrhQbCoEwkJIg5DnZskvgER5urPcubImBsrNIdrdQHFqMMRGsoMBCmRY5msaDTYXMyQVIR4IuWF_IMKKSHGCLgCeD9Q6JxzcEyDT74gzSkiXYeoiTu7UDMREr0fvli-2dQVlJDvyT6tEIPtund-9F9fXy_ZfNx_rq84dPm3dXtWkULfVo-DA0wHrag-SiwYOIfm1FA4p3bBx7hodRsm06acaey743o-jVWjBoaQtKXFRvT777uZ_s8HNC8Hqf3ISr6QhO_40Et9PbeNCSCS4lRYOXdwYpfpttLnpy2eAxIdg4Z8060fC1UlIg9cU_1Os4J7xU1px2Ssi2a5eJ2IllUsw52fF-GEb1EhJ9ConGkOglJPqImud_bnGv-JUKJPATISMUtjb9bv1_1x-Tvc_T</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2097365957</pqid></control><display><type>article</type><title>Comparison of clean intermittent and transurethral indwelling catheterization for the treatment of overt urinary retention after vaginal delivery: a multicentre randomized controlled clinical trial</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Mulder, Femke E. M. ; Hakvoort, Robert A. ; de Bruin, Jan P. ; van der Post, Joris A. M. ; Roovers, Jan-Paul W. R.</creator><creatorcontrib>Mulder, Femke E. M. ; Hakvoort, Robert A. ; de Bruin, Jan P. ; van der Post, Joris A. M. ; Roovers, Jan-Paul W. R.</creatorcontrib><description>Introduction and hypothesis
Overt 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.
Methods
A 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).
Results
Only 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.
Conclusions
In 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.</description><identifier>ISSN: 0937-3462</identifier><identifier>EISSN: 1433-3023</identifier><identifier>DOI: 10.1007/s00192-017-3452-y</identifier><identifier>PMID: 28856403</identifier><language>eng</language><publisher>London: Springer London</publisher><subject>Adolescent ; Adult ; Catheters ; Clinical trials ; Delivery, Obstetric - adverse effects ; Female ; Gynecology ; Humans ; Intermittent Urethral Catheterization ; Intubation ; Medicine ; Medicine & Public Health ; Netherlands - epidemiology ; Original ; Original Article ; Pregnancy ; Puerperal Disorders - epidemiology ; Puerperal Disorders - etiology ; Urinary Bladder ; Urinary Catheterization - methods ; Urinary Retention - complications ; Urinary Retention - epidemiology ; Urinary Retention - therapy ; Urology</subject><ispartof>International Urogynecology Journal, 2018-09, Vol.29 (9), p.1281-1287</ispartof><rights>The Author(s) 2017</rights><rights>International Urogynecology Journal is a copyright of Springer, (2017). All Rights Reserved. © 2017. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-fc2dd4a1b0ba62340003b8e34a7291ffb1288765496cfb26bbcf3b7831a505a73</citedby><cites>FETCH-LOGICAL-c470t-fc2dd4a1b0ba62340003b8e34a7291ffb1288765496cfb26bbcf3b7831a505a73</cites><orcidid>0000-0002-2368-309X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00192-017-3452-y$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00192-017-3452-y$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28856403$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mulder, Femke E. M.</creatorcontrib><creatorcontrib>Hakvoort, Robert A.</creatorcontrib><creatorcontrib>de Bruin, Jan P.</creatorcontrib><creatorcontrib>van der Post, Joris A. M.</creatorcontrib><creatorcontrib>Roovers, Jan-Paul W. R.</creatorcontrib><title>Comparison of clean intermittent and transurethral indwelling catheterization for the treatment of overt urinary retention after vaginal delivery: a multicentre randomized controlled clinical trial</title><title>International Urogynecology Journal</title><addtitle>Int Urogynecol J</addtitle><addtitle>Int Urogynecol J</addtitle><description>Introduction and hypothesis
Overt 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.
Methods
A 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).
Results
Only 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.
Conclusions
In 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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Catheters</subject><subject>Clinical trials</subject><subject>Delivery, Obstetric - adverse effects</subject><subject>Female</subject><subject>Gynecology</subject><subject>Humans</subject><subject>Intermittent Urethral Catheterization</subject><subject>Intubation</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Netherlands - epidemiology</subject><subject>Original</subject><subject>Original Article</subject><subject>Pregnancy</subject><subject>Puerperal Disorders - epidemiology</subject><subject>Puerperal Disorders - etiology</subject><subject>Urinary Bladder</subject><subject>Urinary Catheterization - methods</subject><subject>Urinary Retention - complications</subject><subject>Urinary Retention - epidemiology</subject><subject>Urinary Retention - therapy</subject><subject>Urology</subject><issn>0937-3462</issn><issn>1433-3023</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1Ustu1DAUjRCITgsfwAZZYsMm4EdiT1ggoREFpEpsYG3dOM6MK8cebGeq6f_xX9wwpTwkVrbuedyHTlU9Y_QVo1S9zpSyjteUqVo0La-PD6oVa4SoBeXiYbWinVgQyc-q85yvKaUNbenj6oyv161sqFhV3zdx2kNyOQYSR2K8hUBcKDZNrhQbCoEwkJIg5DnZskvgER5urPcubImBsrNIdrdQHFqMMRGsoMBCmRY5msaDTYXMyQVIR4IuWF_IMKKSHGCLgCeD9Q6JxzcEyDT74gzSkiXYeoiTu7UDMREr0fvli-2dQVlJDvyT6tEIPtund-9F9fXy_ZfNx_rq84dPm3dXtWkULfVo-DA0wHrag-SiwYOIfm1FA4p3bBx7hodRsm06acaey743o-jVWjBoaQtKXFRvT777uZ_s8HNC8Hqf3ISr6QhO_40Et9PbeNCSCS4lRYOXdwYpfpttLnpy2eAxIdg4Z8060fC1UlIg9cU_1Os4J7xU1px2Ssi2a5eJ2IllUsw52fF-GEb1EhJ9ConGkOglJPqImud_bnGv-JUKJPATISMUtjb9bv1_1x-Tvc_T</recordid><startdate>20180901</startdate><enddate>20180901</enddate><creator>Mulder, Femke E. M.</creator><creator>Hakvoort, Robert A.</creator><creator>de Bruin, Jan P.</creator><creator>van der Post, Joris A. M.</creator><creator>Roovers, Jan-Paul W. R.</creator><general>Springer London</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-2368-309X</orcidid></search><sort><creationdate>20180901</creationdate><title>Comparison of clean intermittent and transurethral indwelling catheterization for the treatment of overt urinary retention after vaginal delivery: a multicentre randomized controlled clinical trial</title><author>Mulder, Femke E. M. ; Hakvoort, Robert A. ; de Bruin, Jan P. ; van der Post, Joris A. M. ; Roovers, Jan-Paul W. R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-fc2dd4a1b0ba62340003b8e34a7291ffb1288765496cfb26bbcf3b7831a505a73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Catheters</topic><topic>Clinical trials</topic><topic>Delivery, Obstetric - adverse effects</topic><topic>Female</topic><topic>Gynecology</topic><topic>Humans</topic><topic>Intermittent Urethral Catheterization</topic><topic>Intubation</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Netherlands - epidemiology</topic><topic>Original</topic><topic>Original Article</topic><topic>Pregnancy</topic><topic>Puerperal Disorders - epidemiology</topic><topic>Puerperal Disorders - etiology</topic><topic>Urinary Bladder</topic><topic>Urinary Catheterization - methods</topic><topic>Urinary Retention - complications</topic><topic>Urinary Retention - epidemiology</topic><topic>Urinary Retention - therapy</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mulder, Femke E. M.</creatorcontrib><creatorcontrib>Hakvoort, Robert A.</creatorcontrib><creatorcontrib>de Bruin, Jan P.</creatorcontrib><creatorcontrib>van der Post, Joris A. M.</creatorcontrib><creatorcontrib>Roovers, Jan-Paul W. R.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International Urogynecology Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mulder, Femke E. M.</au><au>Hakvoort, Robert A.</au><au>de Bruin, Jan P.</au><au>van der Post, Joris A. M.</au><au>Roovers, Jan-Paul W. R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of clean intermittent and transurethral indwelling catheterization for the treatment of overt urinary retention after vaginal delivery: a multicentre randomized controlled clinical trial</atitle><jtitle>International Urogynecology Journal</jtitle><stitle>Int Urogynecol J</stitle><addtitle>Int Urogynecol J</addtitle><date>2018-09-01</date><risdate>2018</risdate><volume>29</volume><issue>9</issue><spage>1281</spage><epage>1287</epage><pages>1281-1287</pages><issn>0937-3462</issn><eissn>1433-3023</eissn><abstract>Introduction and hypothesis
Overt 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.
Methods
A 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).
Results
Only 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.
Conclusions
In 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.</abstract><cop>London</cop><pub>Springer London</pub><pmid>28856403</pmid><doi>10.1007/s00192-017-3452-y</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-2368-309X</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adolescent Adult Catheters Clinical trials Delivery, Obstetric - adverse effects Female Gynecology Humans Intermittent Urethral Catheterization Intubation Medicine Medicine & Public Health Netherlands - epidemiology Original Original Article Pregnancy Puerperal Disorders - epidemiology Puerperal Disorders - etiology Urinary Bladder Urinary Catheterization - methods Urinary Retention - complications Urinary Retention - epidemiology Urinary Retention - therapy Urology |
| title | Comparison of clean intermittent and transurethral indwelling catheterization for the treatment of overt urinary retention after vaginal delivery: a multicentre randomized controlled clinical trial |
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