Post catheterization urine analysis in lower?segment caesarean section patients

Abstract

To assess the effect of duration of catherization on urine analysis and on first voiding time after removal of catheter in postoperative period after caesarean section.Patients who have undergone caesarean section from June 2020 to June 2021. The catheter was in-situ post operatively. Urine sample from each patient was analyzed for routine microscopy before catheterization as well as after removal of catheter. Midstream clean catch urine was collected in sterile container and sent for urine routine analysis. As per duration of catheter in situ we divided the patients in four groupsPatients with catheter in situ- up to 24 hours, 24 to 48 hours, 48 to 72 hours, > 72 hours.Factors like urgency, frequency, dysuria and time required to void first time after removal of catheter were taken into consideration. > 4 pus cells in microscopy were taken as UTI.Urinary urgency and frequency were 91% in patient with catheter in situ for >24 hours. Out of 50 with duration of 1 to 3 hours catheter in situ, 48 had moderate dysuria, 10 with duration > 3 hours catheter in situ had dysuria in post- operatively. Of 35 with > 2 days of catheter in situ, 31 had UTI in postoperatively. Time taken to void the bladder initially was increased after removal of catheter in postoperatively.We have concluded that use of catheter for >24 hours is associated with increased incidence of urinary infection and more discomfort at first voiding.