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A meta‐analysis comparing suprapubic and transurethral catheterization for bladder drainage after abdominal surgery. BJS 2006; 93: 1038-1044.

Published: 27th June 2006

Authors: M. J. W. McPhail, M. Abu‐Hilal, C. D. Johnson

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.

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. Copyright © 2006 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.

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