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March 23, 2026Obstetrics and Gynecology

Postoperative Day 1 Catheter Self-Discontinuation at Home After Urogynecology Surgery: A Randomized Controlled Trial (CATH Trial)

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Authors

CMC. MckenzieMPM. PedersonMAM. Alvarez

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Overview

Randomized controlled trial evaluates home catheter removal's safety and patient satisfaction after surgery, suggesting positive outcomes.

Key Points

  • This study examines if home catheter self-discontinuation on postoperative day 1 is as effective as office-based discontinuation for urinary retention.
  • Noninferiority trial design
  • Randomization of patients to catheter self-discontinuation or office-based catheter removal
  • Assessment of urinary retention rates and participant satisfaction
  • Evaluation of urinary tract infections and healthcare use after surgery
  • Postoperative urinary retention occurred in 14.7% of self-discontinuation versus 20% of office discontinuation participants
  • Self-discontinuation associated with higher patient satisfaction scores (5.0 vs 4.1)
  • Rates of urinary tract infections were similar between groups (18.0% vs 18.3%)
  • Both groups had comparable post-void residual volumes at 6 weeks, indicating no safety concerns

Cite This Study

Mckenzie et al. (2026) studied this question.

synapsesocial.com/papers/69c0ddb8fddb9876e79c11f0https://doi.org/10.1097/aog.0000000000006205.14
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