Urinary catheterisation management after laparoscopic hysterectomy: a national overview and a nurse preference survey

Figures & data

Figure 1. Overview of catheterisation management after laparoscopic hysterectomy in Dutch hospitals.

Table 1. Baseline characteristics of the responding nurses.

Characteristics
Gender
Male	2 (1.8)
Female	109 (98.2)
Age (years)	34.0 (19–61)
Graduated
Yes	95 (85.6)
No	16 (14.4)
Work experience (years)
As a nurse	7 (0–41)
On a gynaecology ward	2 (0–37)
Hours per week at work	32 (16–36)

Data are presented as median (range) or as number (%).

Table 2. The opinion of nurses on timing of urinary catheter removal after LH.

	Number (%)	Mean age ± SD (years)	p value	Mean working experience on gynaecologic ward ± (years)	p value
Is direct removal feasible?
Yes	100 (90.1)	35.4 ± 12.6	.022	5.0 ± 7.6	.008
No	11 (9.9)	44.7 ± 12.8		12.4 ± 14.9
Recommendation to family or friend
Direct removal	87 (78.4)	34.4 ± 12.3	.008	3.8 ± 5.7	<.001
Delayed removal	21 (18.9)	42.7 ± 13.7		11.7 ± 14.2
Other	3 (2.7)
Age dependent	2 (1.8)
Patient health	1 (0.9)
Situations where it would be better not to remove the catheter directly
In all cases direct removal is better	47 (42.3)	–	–	–	–
The level of activity of the service	5 (4.5)
Patient with BMI >30	22 (19.8)
Patient age >65 years	38 (34.2)
Other	30 (27.0)
Physical difficulties	15 (13.5)
General well-being	8 (7.2)
Epidural use	3 (2.7)
Level of severity of the procedure	4 (3.6)

BMI: body mass index. Statistics: independent t-test. Data are presented as mean ± standard deviation (SD) or as number (%).

Table 3. Influence of timing of urinary catheter removal on several outcomes, according to the nurses.

	No influence		Increases	Decreases
Influence of direct removal (compared with delayed removal)
Risk of urinary tract infections	14 (12.6)		13 (11.7)	84 (75.7)
Risk of urinary retention	32 (28.8)		51 (45.9)	28 (25.2)
Post-operative pain	63 (56.8)		35 (31.5)	13 (11.7)
Workload of the nurses	58 (52.3)		43 (38.7)	10 (9.0)
	No influence	Later	Earlier	Too early
Influence of direct removal (compared to delayed removal)
Mobility	20 (18.0)	7 (6.3)	82 (73.9)	2 (1.8)
Discharge	41 (36.9)	5 (4.5)	65 (58.6)	0 (0)

Data are presented as number (%).