{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T09:10:44Z","timestamp":1783933844408,"version":"3.55.0"},"reference-count":31,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study aimed to compare the outcomes of early versus delayed removal of the urinary catheter after total laparoscopic hysterectomy (TLH), focusing on urinary retention, re-catheterization, urinary tract infection (UTI), and hospital stay duration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects and Methods:<\/jats:title>\n                    <jats:p>A prospective observational study was conducted, enrolling patients who underwent TLH. Participants were divided into two groups based on the timing of urinary catheter removal: early removal (immediately post-surgery) and delayed removal (\u226518\u201324 h post-surgery). The primary outcomes included the incidence of temporary urinary retention (inability to void within 6 h of catheter removal requiring re-catheterization, the rate of UTI, and the duration of hospital stay). Statistical analyses were performed to compare outcomes between the two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 128 women were analyzed (early catheter removal [ECR]: 62, delayed catheter removal: 66). Early removal of the urinary catheter was associated with an increased risk of temporary urinary retention. The risk difference was 9.7% (95% confidence interval [CI] [2.3\u201317.0]);\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.028) and a higher rate of re-catheterization (10.9% [95% CI 3.23\u201318.30];\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.01). The incidence of UTIs was lower in the early removal group (1.53% vs. 7.69%), although this difference was not statistically significant (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.20). Patients in the early removal group had a significantly shorter hospital stay (2.91 \u00b1 0.9 days vs. 2.97 \u00b1 0.6 days,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>ECR after laparoscopic hysterectomy increases the risk of transient urinary retention and re-catheterization, with a possible trend toward lower UTI rates and a modest reduction in hospital stay. A risk-stratified, individualized approach may be preferable.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jmh.jmh_204_25","type":"journal-article","created":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T08:00:16Z","timestamp":1783497616000},"page":"269-275","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Early versus Delayed Removal of Urinary Catheter after Laparoscopic Hysterectomy: Insights from a Prospective Observational Study"],"prefix":"10.4103","volume":"17","author":[{"given":"Suma","family":"Shet","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charu","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shashank","family":"Shekhar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pratibha","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manisha","family":"Jhirwal","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meenakshi","family":"Gothwal","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manoj Kumar","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7,2]]},"reference":[{"key":"R1-20260713","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 randomized controlled trials","volume":"99","author":"Huang","year":"2020","journal-title":"Medicine (Baltimore)"},{"key":"R2-20260713","doi-asserted-by":"crossref","first-page":"1115","DOI":"10.1080\/01443615.2018.1447914","article-title":"Urinary catheterisation management after laparoscopic hysterectomy: A national overview and a nurse preference 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