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• W2724693485 abstract "Objective To compare the voiding time between intermittent self-catheterization (ISC) and suprapubic catheterization (SPC) in cervical cancer patients undergoing radical hysterectomy and pelvic lymphadenectomy (RHPL). Design Prospective randomized study. Setting Division of Gynecologic Oncology, Department of Obstetrics & Gynecology, Faculty of Medicine, Chiang Mai University. Subjects & Methods Between September 1998 and June 1999, 71 patients with stage IB-IIA cervical cancer undergoing RHPL were prospectively randomized to receive either ISC (38 cases) or SPC (33 cases) for managing post operative bladder dysfunction. Intermittent self-catheterization every 4 hours after voiding was initiated on day 7 post-operatively in the ISC group, whereas in the SPC group, the catheter was clamped on 7 th post operative day. The duration for clamping in the SPC group was 4 hours and was released after self voiding to check the residual urine. Both ISC and SPC were discontinued when post voiding residual urine was less than 75 ml for 2 consecutive voids. Patients in the SPC group were switched to perform ISC if they could not void normally at day 30 postoperatively. The voiding time, the frequency of urinary tract infection, perioperative data and morbidity were recorded. Results Both groups were similar regarding age, body mass index (BMI), tumor histology, stage, size and gross appearance of the tumors. There was no difference between groups in respect of operative time, need for blood transfusion, perioperative morbidity, need for adjuvant chemoradiation and the frequency of urinary tract infection. Twenty-five (65.8%) patients in the ISC group and 23 (69.7%) in the SPC group had voiding time less than 30 days. Mean voiding time in the ISC group was significantly less than that in the SPC group (13.1 days vs. 17.3 days respectively, P = 0.02). Conclusion Patients performing ISC after RHPL for invasive cervical cancer can resume bladder function earlier than those undergoing SPC without significant difference in the frequency of urinary tract infection and perioperative morbidity" @default.
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• W2724693485 date "2017-06-02" @default.
• W2724693485 modified "2023-09-23" @default.
• W2724693485 title "A Prospective Randomized Study Comparing Voiding Time Between Suprapubic Catheterization and Intermittent Self-Catheterization Following Radical Hysterectomy and Pelvic Lymphadenectomy for Cervical Cancer" @default.
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