Catheterization options following radical surgery for cervical cancer.

Karen Roberts, Raj Naik

Journal: British journal of nursing (Mark Allen Publishing) 2007;15(19):1038-44

PMID: 17167363

Abstract

This trial assessed the potential benefits of intermittent self-catheterization (ISC) over standard care with suprapubic catheterization (SPC) in the postoperative bladder care of women with early-stage cervical cancer following radical hysterectomy. A prospective randomized controlled trial of 40 women was carried out. The urinary infection rate (catheter specimen of urine) was significantly higher in the ISC group at day 3 and day 5 (42% and 63%) compared to the SPC group (6% and 18%), p=0.05 and p=0.004, respectively. Forty-seven percent of patients randomized to SPC documented having problems arising from the SPC site, of which 23% were shown to have a positive wound swab. Despite a greater urinary tract infection rate, the technique of ISC was seen by women to be more acceptable, allowing fewer disturbances at night, greater freedom to live a normal life and less anxiety/embarrassment compared to SPC.

Address: Northern Gynaecologoical Oncology Centre, Queen Elizabeth Hospital, Gateshead, Tyne and Wear.

DOI: 10.12968/bjon.2006.15.19.22103

Link outs

Free resources

Medical:

https://medlineplus.gov/cervicalcancer.html

Subscription / membership required

Full Text Sources:

https://www.magonlinelibrary.com/doi/10.12968/bjon...

MeSH Terms: Activities of Daily Living, Adult, Aged, Attitude to Health, Cross Infection, Cystostomy, Female, Humans, Hysterectomy, Infection Control, Life Style, Middle Aged, Nursing Methodology Research, Postoperative Care, Prospective Studies, Self Care, Surveys and Questionnaires, Time Factors, Urinary Catheterization, Urinary Tract Infections, Uterine Cervical Neoplasms