{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T07:42:41Z","timestamp":1791013361588,"version":"4.1.0"},"reference-count":50,"publisher":"MDPI AG","issue":"23","license":[{"start":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T00:00:00Z","timestamp":1763769600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: Pelvic organ prolapse (POP) is a common condition affecting women. When conservative treatment fails, surgical correction is indicated. Anterior colporrhaphy (AC) is a standard procedure for anterior vaginal wall prolapse repair. Postoperatively, an indwelling urinary catheter (IUC) is typically inserted to prevent urinary retention; however, prolonged catheterization is a known risk factor for urinary tract infection (UTI). This study aimed to evaluate whether postoperative catheterization can be safely shortened from 4 days to 24 h after vaginal POP surgery, and to compare the incidence of urinary retention and UTI between the two groups. Methods: A prospective randomized controlled trial was conducted, including 119 patients scheduled for AC for POP repair. All patients received an IUC after surgery and were randomized to catheter removal after either 24 h (group 1) or 4 days (group 2). Urinary retention was defined as a postvoid residual volume &gt; 200 mL after IUC removal. UTI was diagnosed based on typical symptoms and a positive urine culture (\u2265105 CFU\/mL). Results: Data from 80 patients were analyzed. There were no statistically significant differences in catheter reinsertion rates (15% in group 1 vs. 7.5% in group 2, p = 0.288). The incidence of urinary retention was not influenced by the use of Kelly sutures, concomitant procedures, or patient age. No UTIs were confirmed in either group. Median hospital stay was significantly shorter in group 1 (3 [2\u20134] days vs. 4 [4\u20134] days, p &lt; 0.001). Conclusions: Short-term catheterization following anterior colporrhaphy is not associated with increased risk of urinary retention or infection. Reducing catheterization duration results in a shorter hospital stay, which may lower healthcare costs and improve patient throughput.<\/jats:p>","DOI":"10.3390\/jcm14238295","type":"journal-article","created":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T16:31:54Z","timestamp":1764088314000},"page":"8295","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Shortening Indwelling Catheterization After Vaginal Surgery for Pelvic Organ Prolapse: Results from a Prospective Randomized Trial"],"prefix":"10.3390","volume":"14","author":[{"given":"Tala","family":"Kordis","sequence":"first","affiliation":[{"name":"Division of Obstetrics and Gynaecology, Department of Gynaecology, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia"},{"name":"Faculty of Medicine, University of Ljubljana, Vrazov trg 2, 1000 Ljubljana, Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Kofol","sequence":"additional","affiliation":[{"name":"Division of Obstetrics and Gynaecology, Department of Gynaecology, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia"},{"name":"Faculty of Medicine, University of Ljubljana, Vrazov trg 2, 1000 Ljubljana, Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mija","family":"Blaganje","sequence":"additional","affiliation":[{"name":"Division of Obstetrics and Gynaecology, Department of Gynaecology, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia"},{"name":"Faculty of Medicine, University of Ljubljana, Vrazov trg 2, 1000 Ljubljana, Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,11,22]]},"reference":[{"key":"ref_1","first-page":"179","article-title":"Pelvic Organ Prolapse","volume":"96","author":"Iglesia","year":"2017","journal-title":"Am. Fam. Physician"},{"key":"ref_2","first-page":"446","article-title":"Pelvic organ prolapse\u2014A review","volume":"44","author":"Dietz","year":"2015","journal-title":"Aust. Fam. Physician"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1027","DOI":"10.1016\/S0140-6736(07)60462-0","article-title":"Pelvic organ prolapse","volume":"369","author":"Jelovsek","year":"2007","journal-title":"Lancet"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1689","DOI":"10.1007\/s00192-019-04044-2","article-title":"The effect of the first vaginal birth on pelvic floor anatomy and dysfunction","volume":"30","author":"Urbankova","year":"2019","journal-title":"Int. Urogynecol. J."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"2438","DOI":"10.1001\/jama.2018.18315","article-title":"Association of Delivery Mode With Pelvic Floor Disorders After Child-birth","volume":"320","author":"Blomquist","year":"2018","journal-title":"JAMA"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1590\/s1677-5538.ibju.2018.0581","article-title":"Narrative review of the epidemiology, diagnosis and pathophysiology of pelvic organ prolapse","volume":"46","author":"Weintraub","year":"2020","journal-title":"Int. Braz. J. Urol."},{"key":"ref_7","first-page":"575","article-title":"Za\u010detna obravnava bolnice z uroginekolo\u0161kimi te\u017eavami","volume":"87","author":"But","year":"2019","journal-title":"Slov. Med. J."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"American College of Obstetricians and Gynecologists, and The American Urogynecologic Society (2019). Pelvic Organ Prolapse. Female Pelvic Med. Reconstr. Surg., 25, 397\u2013408.","DOI":"10.1097\/SPV.0000000000000794"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1783","DOI":"10.1007\/s00192-013-2169-9","article-title":"Epidemiology and outcome assessment of pelvic organ prolapse","volume":"24","author":"Barber","year":"2013","journal-title":"Int. Urogynecol. J."},{"key":"ref_10","first-page":"CD013105","article-title":"Perioperative interventions in pelvic organ prolapse sur-gery","volume":"8","author":"Haya","year":"2018","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1826","DOI":"10.1056\/NEJMoa1009521","article-title":"Anterior colporrhaphy versus transvaginal mesh for pelvic-organ prolapse","volume":"364","author":"Altman","year":"2011","journal-title":"N. Engl. J. Med."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"062","DOI":"10.1055\/s-0040-1714288","article-title":"Ventral Rectopexy","volume":"34","author":"Loh","year":"2021","journal-title":"Clin. Colon Rectal Surg."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1007\/s00192-010-1304-0","article-title":"Postoperative catheterization after anterior colporrhaphy: 2 versus 5 days. A multicentre randomized controlled trial","volume":"22","author":"Weemhoff","year":"2011","journal-title":"Int. Urogynecol. J."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"829","DOI":"10.2147\/IJWH.S55383","article-title":"Prevention and management of postoperative urinary retention after urogynecologic surgery","volume":"6","author":"Geller","year":"2014","journal-title":"Int. J. Womens Health"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1002\/nau.20636","article-title":"Predicting Short-Term Urinary Retention After Vaginal Prolapse Surgery","volume":"28","author":"Hakvoort","year":"2009","journal-title":"Neurourol. Urodyn."},{"key":"ref_16","first-page":"436","article-title":"Pass or Fail? Postoperative Active Void-ing Trials in an Enhanced Recovery Program","volume":"28","author":"Trowbridge","year":"2022","journal-title":"Female Pelvic Med. Reconstr. Surg."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"828","DOI":"10.1111\/j.1471-0528.2004.00181.x","article-title":"How long should urinary bladder catheterisation be continued after vaginal prolapse surgery? A randomised controlled trial comparing short term versus long term cathe-terisation after vaginal prolapse surgery","volume":"111","author":"Hakvoort","year":"2004","journal-title":"BJOG"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"627.e1","DOI":"10.1016\/j.ajog.2007.08.017","article-title":"A randomized, controlled trial evalu-ating 2 techniques of postoperative bladder testing after transvaginal surgery","volume":"197","author":"Foster","year":"2007","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1007\/s00192-014-2345-6","article-title":"Anterior colporrhaphy: Why surgeon performance is paramount","volume":"25","author":"Moen","year":"2014","journal-title":"Int. Urogynecol. J."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1139","DOI":"10.1097\/ALN.0b013e31819f7aea","article-title":"Postoperative urinary retention: Anesthetic and perioperative considerations","volume":"110","author":"Baldini","year":"2009","journal-title":"Anesthesiology"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"e20200014","DOI":"10.1590\/1983-1447.2021.20200014","article-title":"Incidence of urinary retention and relations between patient\u2019s complaint, physical exami-nation, and bladder ultrasound","volume":"42","author":"Ceratti","year":"2021","journal-title":"Rev. Gaucha. Enferm."},{"key":"ref_22","unstructured":"European Association of Urology (2022). EAU Guidelines on Urological Infections, European Association of Urology. Edn presented at the EAU Annual Congress Amsterdam, the Netherlands."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1310\/sci2503-228","article-title":"Pathophysiology, Treatment, and Prevention of Catheter-Associated Urinary Tract Infection","volume":"25","author":"Hreha","year":"2019","journal-title":"Top. Spinal Cord Inj. Rehabil."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1007\/s00192-010-1309-8","article-title":"Optimal duration of urinary catheterization after anterior colporrhaphy","volume":"22","author":"Huang","year":"2011","journal-title":"Int. Urogynecol. J."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1499","DOI":"10.1007\/s00192-010-1221-2","article-title":"Postoperative infections due to bladder catheters after an-terior colporrhaphy: A prospective, randomized three-arm study","volume":"21","author":"Kringel","year":"2010","journal-title":"Int. Urogynecol. J."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"781","DOI":"10.1007\/s00192-017-3510-5","article-title":"Anterior colporrhaphy: A standard operation? Systematic review of the technical aspects of a common procedure in randomized controlled trials","volume":"29","author":"Umek","year":"2018","journal-title":"Int. Urogynecol. J."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1007\/s00192-010-1353-4","article-title":"Technique of anterior colporrhaphy: A Dutch evaluation","volume":"22","author":"Lensen","year":"2011","journal-title":"Int. Urogynecol. J."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1897","DOI":"10.1007\/s00192-018-3818-9","article-title":"Reducing postoperative catheterisation after anterior colporrhaphy from 48 to 24 h: A randomised controlled trial","volume":"30","author":"Tardiu","year":"2019","journal-title":"Int. Urogynecol. J."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1117","DOI":"10.1007\/s00192-016-2960-5","article-title":"Mini-laparoscopic sacrocolpopexy for apical and posterior female pelvic organ pro-lapse","volume":"27","author":"Blaganje","year":"2016","journal-title":"Int. Urogynecol. J."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"e614","DOI":"10.1097\/SPV.0000000000000998","article-title":"Same-Day Discharge After Minimally Invasive Sac-rocolpopexy Is Feasible, Safe, and Associated With High Patient Satisfaction","volume":"27","author":"Hickman","year":"2021","journal-title":"Female Pelvic Med. Reconstr. Surg."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1002\/nau.22922","article-title":"An International Urogynecological Associa-tion (IUGA)\/International Continence Society (ICS) Joint Report on the Terminology for Female Pelvic Organ Prolapse (POP)","volume":"35","author":"Haylen","year":"2016","journal-title":"Neurourol. Urodyn."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"UTI-0002-2012","DOI":"10.1128\/microbiolspec.UTI-0002-2012","article-title":"Clinical Presentations and Epidemiology of Urinary Tract Infections","volume":"4","author":"Geerlings","year":"2016","journal-title":"Microbiol. Spectr."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"e18710","DOI":"10.1097\/MD.0000000000018710","article-title":"The timing of urinary catheter removal after gynecologic surgery: A meta-analysis of random-ized controlled trials","volume":"99","author":"Huang","year":"2020","journal-title":"Medicine"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1111\/j.1479-828X.2008.00842.x","article-title":"The effect of early removal of indwelling urinary catheter on postoperative urinary complications in anterior colporrhaphy surgery","volume":"48","author":"Sekhavat","year":"2008","journal-title":"Aust. New Zealand J. Obstet. Gynaecol."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"103","DOI":"10.34057\/PPj.2021.40.02.007","article-title":"Removal time of postoperative vesical catheter in utero-vaginal prolapse surgery: A comparative study","volume":"40","author":"Benavides","year":"2021","journal-title":"Pelviperineology"},{"key":"ref_36","unstructured":"Habboush, Y., and Guzman, N. (2022). Antibiotic Resistance, StatPearls."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1016\/j.jmig.2018.12.010","article-title":"Enhanced Recovery after Surgery in Gynecology: A Review of the Literature","volume":"26","author":"Scheib","year":"2019","journal-title":"J. Minim. Invasive Gynecol."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1034\/j.1600-0412.2002.810209.x","article-title":"Fast track vaginal surgery","volume":"81","author":"Ottesen","year":"2002","journal-title":"Acta. Obstet. Gynecol. Scand."},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Lambat Emery, S., Brossard, P., Petignat, P., Boulvain, M., Pluchino, N., D\u00e4llenbach, P., Wenger, J.-M., Savoldelli, G.L., Rehberg-Klug, B., and Dubuisson, J. (2021). Fast-Track in Minimally Invasive Gynecology: A Randomized Trial Comparing Costs and Clinical Outcomes. Front. Surg., 8.","DOI":"10.3389\/fsurg.2021.773653"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"e2014.00291","DOI":"10.4293\/JSLS.2014.00291","article-title":"Advanced gynecologic laparoscopy in a fast-track ambulatory surgery center","volume":"18","author":"Nezhat","year":"2014","journal-title":"JSLS"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1111\/j.1600-0412.2012.01525.x","article-title":"The development of fast-track principles in gynecological surgery","volume":"92","author":"Wodlin","year":"2013","journal-title":"Acta Obstet. Gynecol. Scand."},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"COVIDSurg Collaborative (2020). Global guidance for surgical care during the COVID-19 pandemic. Br. J. Surg., 107, 1097\u20131103.","DOI":"10.1002\/bjs.11646"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1093\/bjs\/znaa012","article-title":"Resource requirements for reintroducing elective surgery during the COVID-19 pandemic: Modelling study","volume":"108","author":"Fowler","year":"2021","journal-title":"Br. J. Surg."},{"key":"ref_44","doi-asserted-by":"crossref","unstructured":"COVIDSurg Collaborative, Nepogodiev, D., and Bhangu, A. (2020). Elective surgery cancellations due to the COVID-19 pandemic: Global predictive modelling to inform surgical recovery plans. Br. J. Surg., 107, 1440\u20131449.","DOI":"10.1002\/bjs.11746"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"24730114211013788","DOI":"10.1177\/24730114211013788","article-title":"Impact of COVID-19 Pandemic on Patients\u2019 Perceptions of Safety and Need for Elective Foot and Ankle Surgery in the United States","volume":"6","author":"Chan","year":"2021","journal-title":"Foot Ankle Orthop."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"2003","DOI":"10.1016\/j.spinee.2021.07.019","article-title":"COVID-19 pandemic and elective spinal surgery cancelations\u2014What happens to the patients?","volume":"21","author":"Norris","year":"2021","journal-title":"Spine J."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1302\/2633-1462.16.BJO-2020-0057","article-title":"Restarting elective orthopaedic services during the COVID-19 pandemic","volume":"1","author":"Chang","year":"2020","journal-title":"Bone Jt. Open"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1308\/rcsann.2020.7012","article-title":"Resuming elective hip and knee arthroplasty in the COVID-19 era: A unique insight into patient risk aversion and sentiment","volume":"103","author":"Madanipour","year":"2021","journal-title":"Ann. R. Coll. Surg. Engl."},{"key":"ref_49","first-page":"519","article-title":"Functional urology surgery and SARS-CoV-2: How and why surgical activity should be resumed now, adapting to the new reality","volume":"44","year":"2020","journal-title":"Actas Urol. Esp."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1055\/s-0038-1668581","article-title":"Enhanced Recovery After Surgery (ERAS): New Concepts in the Perioperative Management of Gynecologic Surgery","volume":"40","author":"Santiago","year":"2018","journal-title":"Rev. Bras. Ginecol. Obstet."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/14\/23\/8295\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T16:44:42Z","timestamp":1764089082000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/14\/23\/8295"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,22]]},"references-count":50,"journal-issue":{"issue":"23","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["jcm14238295"],"URL":"https:\/\/doi.org\/10.3390\/jcm14238295","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,22]]}}}