{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T18:50:59Z","timestamp":1791658259017,"version":"4.3.4"},"reference-count":20,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,3,1]],"date-time":"2019-03-01T00:00:00Z","timestamp":1551398400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate if immediate catheter removal (<jats:styled-content style=\"fixed-case\">ICR<\/jats:styled-content>) after laparoscopic hysterectomy is associated with similar retention outcomes compared with delayed removal (<jats:styled-content style=\"fixed-case\">DCR<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study design<\/jats:title><jats:p>Non\u2010inferiority randomised controlled trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>Women undergoing laparoscopic hysterectomy in six hospitals in the Netherlands.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Women were randomised to <jats:styled-content style=\"fixed-case\">ICR<\/jats:styled-content> or <jats:styled-content style=\"fixed-case\">DCR<\/jats:styled-content> (between 18 and 24\u00a0hours after surgery).<\/jats:p><\/jats:sec><jats:sec><jats:title>Primary outcome<\/jats:title><jats:p>The inability to void within 6\u00a0hours after catheter removal.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred and fifty\u2010five women were randomised to <jats:styled-content style=\"fixed-case\">ICR<\/jats:styled-content> (<jats:italic>n<\/jats:italic>\u00a0=\u00a074) and <jats:styled-content style=\"fixed-case\">DCR<\/jats:styled-content> (<jats:italic>n<\/jats:italic>\u00a0=\u00a081). The intention\u2010to\u2010treat and per\u2010protocol analysis could not demonstrate the non\u2010inferiority of <jats:styled-content style=\"fixed-case\">ICR<\/jats:styled-content>: ten women with <jats:styled-content style=\"fixed-case\">ICR<\/jats:styled-content> could not urinate spontaneously within 6\u00a0hours compared with none in the delayed group (risk difference 13.5%, 5.6\u201324.8, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.88). However, seven of these women could void spontaneously within 9\u00a0hours without additional intervention. Regarding the secondary outcomes, eight women from the delayed group requested earlier catheter removal because of complaints (9.9%). Three women with <jats:styled-content style=\"fixed-case\">ICR<\/jats:styled-content> (4.1%) had a urinary tract infection postoperatively versus eight with <jats:styled-content style=\"fixed-case\">DCR<\/jats:styled-content> (9.9%, risk difference \u22125.8%, \u221215.1 to 3.5, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.215). Women with <jats:styled-content style=\"fixed-case\">ICR<\/jats:styled-content> mobilised significantly earlier (5.7\u00a0hours, 0.8\u201323.3 versus 21.0\u00a0hours, 1.4\u201329.9; <jats:italic>P<\/jats:italic>\u00a0\u2264\u00a00.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The non\u2010inferiority of <jats:styled-content style=\"fixed-case\">ICR<\/jats:styled-content> could not be demonstrated in terms of urinary retention 6\u00a0hours after procedure. However, 70% of the women with voiding difficulties could void spontaneously within 9\u00a0hours after laparoscopic hysterectomy. It is therefore questionable if all observed urinary retention cases were clinically relevant. As a result, the clinical advantages of <jats:styled-content style=\"fixed-case\">ICR<\/jats:styled-content> may still outweigh the risk of bladder retention and it should therefore be considered after uncomplicated laparoscopic hysterectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Tweetable abstract<\/jats:title><jats:p>The advantages of immediate catheter removal after laparoscopic hysterectomy seem to outweigh the risk of bladder retention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.15580","type":"journal-article","created":{"date-parts":[[2018,12,12]],"date-time":"2018-12-12T16:11:56Z","timestamp":1544631116000},"page":"804-813","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Immediate versus delayed removal of urinary catheter after laparoscopic hysterectomy: a\u00a0randomised controlled trial"],"prefix":"10.1111","volume":"126","author":[{"given":"EM","family":"Sandberg","sequence":"first","affiliation":[{"name":"Department of Gynaecology Leids Universitair Medisch Centrum Leiden the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ARH","family":"Twijnstra","sequence":"additional","affiliation":[{"name":"Department of Gynaecology Leids Universitair Medisch Centrum Leiden the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"CA","family":"van Meir","sequence":"additional","affiliation":[{"name":"Department of Gynaecology Groene Hart Ziekenhuis Gouda the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"HS","family":"Kok","sequence":"additional","affiliation":[{"name":"Departement of Gynaecology Alrijne Ziekenhuis Leiden\/Leiderdorp the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N","family":"van Geloven","sequence":"additional","affiliation":[{"name":"Department of Biomedical Data Sciences Section\u00a0Medical Statistics Leids Universitair Medisch Centrum Leiden the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K","family":"Gludovacz","sequence":"additional","affiliation":[{"name":"Departement of Gynaecology Alrijne Ziekenhuis Leiden\/Leiderdorp the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W","family":"Kolkman","sequence":"additional","affiliation":[{"name":"Department of Gynaecology HagaZiekenhuis The Hague the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"HTC","family":"Nagel","sequence":"additional","affiliation":[{"name":"Department of Gynaecology Haaglanden Medisch Centrum The Hague the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"LCF","family":"Haans","sequence":"additional","affiliation":[{"name":"Department of Gynaecology Haaglanden Medisch Centrum The Hague the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K","family":"Kapiteijn","sequence":"additional","affiliation":[{"name":"Department of Gynaecology Reinier de Graaf Gasthuis Delft the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"FW","family":"Jansen","sequence":"additional","affiliation":[{"name":"Department of Gynaecology Leids Universitair Medisch Centrum Leiden the Netherlands"},{"name":"Department of Biomechanical Engineering Delft University of Technology Delft the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,3]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Guideline on Minimally Invasive Surgery (in Dutch). 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