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The effect of clamping the indwelling urinary catheter before removal in cervical cancer patients after radical hysterectomy

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  • Yao Gong
  • Ling Zhao
  • Lin Wang
  • Fulan Wang

Abstract

Aims and objectives To determine the effect of clamping the indwelling urinary catheter before its removal on bladder reconditioning in patients with cervical cancer after radical hysterectomy. Background It is suggested that indwelling urinary catheters should be clamped intermittently to fill the bladder and restore bladder function before removal. However, indwelling urinary catheter clamping showed no effect on bladder reconditioning according to some clinical studies. Design Randomised controlled study. Methods A total of 210 patients with cervical cancer after type C radical hysterectomy were randomised on 1:2 into two groups. In the clamping group, indwelling urinary catheters were clamped intermittently for 48 hours before removal based on a bladder‐training sheet, while in the control group, the indwelling urinary catheters were removed without clamping. The primary outcome of the study was the rate of recatheterisation. The secondary outcomes included residual urine volume 24 hours after removal, incidence of urinary tract infection and duration of recatheterisation. Results Seventy patients were assigned to the clamping group and 128 to the control group with paralleled baseline characteristics. The days of the primary catheterisation (13·20 ± 0·79 vs. 13·38 ± 1·04) and the incidence of urinary tract infection (22·9% vs. 20·3%) had no significant differences between the two groups. Ten patients in the clamping group and 19 in the control group underwent recatheterisation, the incidence of which showed no significant difference (14·3% vs. 14·8%). The days of recatheterisation were not statistically different between the two groups (11·40 ± 6·75 vs. 9·42 ± 5·23). However, the residual urine volume 24 hours after removal was higher in the clamping group than that in the control group. Conclusions Bladder recondition through indwelling urinary catheter clamping may not restore bladder function in patients after radical hysterectomy. Relevance to clinical practice As indwelling urinary catheter clamping may increase the residual urine volume after indwelling urinary catheter removal and lead to an increased nursing workload, it should not be recommended in patients with cervical cancer postoperatively.

Suggested Citation

  • Yao Gong & Ling Zhao & Lin Wang & Fulan Wang, 2017. "The effect of clamping the indwelling urinary catheter before removal in cervical cancer patients after radical hysterectomy," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(7-8), pages 1131-1136, April.
    • Handle: RePEc:wly:jocnur:v:26:y:2017:i:7-8:p:1131-1136
    DOI: 10.1111/jocn.13579
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    1. Maria Hälleberg Nyman & Jan‐Erik Johansson & Margareta Gustafsson, 2010. "A randomised controlled trial on the effect of clamping the indwelling urinary catheter in patients with hip fracture," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(3‐4), pages 405-413, February.
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    1. Funda Büyükyilmaz & Yeliz Culha & Hande Zümreler & Murat Özer & Mehmet Gokhan Culha & Alper Ötünçtemur, 2020. "The effects of bladder training on bladder functions after transurethral resection of prostate," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(11-12), pages 1913-1919, June.

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