Effects of Urinary Catheter Clamping After Cesarean Section on Urinary Retention and Urinary Tract Infection


Journal of Reconstructive Urology, vol.10, no.2, pp.35-43, 2020 (Peer-Reviewed Journal) identifier


Objective: This study was planned to investigate theeffect of intermittent clamping of the urinary catheter after cesareansection and exercising the detrusor muscle on the post-void residualurine volume and reduction of the risk of urinary tract infection in theearly stage. Material and Methods: This randomized controlledstudy was carried out with 100 primiparous pregnant women whowere to undergo elective cesarean section between January 2019 andJanuary 2020. The participants were randomly assigned into 2 groups:the experimental group including 50 patients who underwent urinarycatheter clamping 3 times after the postoperative 3rd hour, by turningoff the urinary catheter for 3 hours, and then turning it on for 5 minutes and the control group including 50 patients who did not undergourinary catheter clamping. The study data were collected with the maternal information form and Urinary Distress Inventory (UDI-6). TheUDI-6 was used to assess the subjective voiding difficulty. The primary outcome of the present study was to determine whether exercising the detrusor muscle decreased post-void residual urine volumein patients having undergone cesarean section. The secondary resultswere the incidence of urinary tract infections and subjective symptoms experienced by the patients. Results: According to the comparison of the post-void residual urine volume in the experimental (E)and control (C) groups, no significant difference was observed between the groups on the first day [E=10 (20%), C=12 (24%)(p=0.629)] and in the first week [E=2 (4%), C=3 (6%) (p=1.000)]. Inthe sixth week, no post-void residual urine volume was observed inany patient in either group. There was no statistical difference between the groups in percentage change values in time dependent intragroup UDI-6 scores (p=0.453). While the median change in theexperimental group was 50.60%, this value was obtained as 58.93%in the control group. While the rate of the participants with positiveurine culture in the experimental group was 6%, it was 4% in the control group, and there was no significant difference between the groups(p=1.000). Conclusion: In our study, urinary catheter clamping hasno reducing effect on post-void residual urine volume, urinary tractinfection and subjective voiding difficulty.