Affiliation:
1. University Surgical Unit, Mail Point 816, Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK
Abstract
Abstract
Background
Although bladder drainage is widely used for general surgical patients undergoing laparotomy, there is little consensus on whether suprapubic or transurethral catheterization is better.
Method
A systematic database search was undertaken to find all studies of suprapubic catheterization. Randomized controlled trials were identified for inclusion. Endpoints for analysis were bacteriuria, patient satisfaction and recatheterization rates. A meta-analysis was performed using fixed-effect or random-effect models as appropriate, depending on heterogeneity.
Results
After abdominal surgery, transurethral catheterization is associated with significant bacteriuria (relative risk (RR) = 2·02, P < 0·001, 95 per cent confidence interval (c.i.) 1·34 to 3·04) and pain or discomfort (RR = 2·94, P = 0·004, 95 per cent c.i. 1·41 to 6·14). Recatheterization rates using the transurethral method were not increased significantly (RR = 1·97, P = 0·213, 95 per cent c.i. 0·68 to 5·74) with heterogeneity between studies.
Conclusion
The suprapubic route for bladder drainage in general surgery is more acceptable to patients and reduces microbiological morbidity.
Publisher
Oxford University Press (OUP)
Cited by
88 articles.
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