ABSTRACT

Indwelling Bladder Catheterization Compared with use of indwelling urinary catheters inserted pre-CD and removed 12 hours after CD, nonuse is associated with lower incidence of UTI (RR 0.08, 95% CI 0.01-0.64), lower rate of discomfort at first voiding (RR 0.06, 95% CI 0.03-0.12), less time to first voiding (by 16 minutes), and less time (by about 6 minutes) until ambulation. No differences in intraoperative difficulties, complications, or time are seen (26). Given that these studies were both performed in developing countries, that the quality of the RCTs was poor, and the use of prophylactic antibiotics and other important confounders was not reported, there is still insufficient evidence to justify the routine use of bladder catheterization, but its avoidance does not seem to be associated with complications.