Laparoskopik histerektomide foley katater kullanım süresinin üriner fistül önlenmesindeki etkinliği

Mehmet Cengiz Çolakoğlu; Arif Caner Erdoğan; Fatih Akkuş; Ali Acar

doi:10.19161/etd.1640295

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Laparoskopik histerektomide foley katater kullanım süresinin üriner fistül önlenmesindeki etkinliği

Öz

Amaç: Bu çalışma, laparoskopik histerektomi geçiren hastalarda Foley kateterin tutulma süresi ile üriner fistül insidansı arasındaki ilişkiyi araştırmayı amaçlamıştır. Gereç ve Yöntem: Bu retrospektif çalışma, 2015 ile 2023 yılları arasında benign nedenlerle laparoskopik histerektomi uygulanan toplam 312 hastayı içermektedir. Hastalar, ameliyat sonrası Foley kateter kullanım süresine göre iki ana gruba ayrılmıştır: Kateter kullanım süresi üç günden az veya yedi günden fazla olarak kategorize edilmiştir. Bu veriler iki grup arasında karşılaştırılmış ve kateter kullanım süresinin postoperatif üriner fistül gelişimi üzerindeki etkisi analiz edilmiştir. Bulgular: Laparoskopik histerektomi uygulanan 312 bireyin 13'ünde (%4,2) postoperatif üriner fistül gözlenmiştir. Postoperatif üriner fistülü olan grupta eritrosit süspansiyonu (ES) transfüzyon oranı, fistülü olmayan gruba göre önemli ölçüde daha yüksekti (%38,5'e karşı %17,1, p=0,049). Foley kateter kullanım süresi, postoperatif üriner fistülü olan hastalarda önemli ölçüde daha kısadır. Lojistik regresyon analizi sonuçları, uzun süreli Foley kateterizasyonunun fistül gelişim riskini azalttığını göstermiştir (OR=0,100, GA: 0,012-0,797, p=0,030). Sonuç: Bu çalışma, laparoskopik histerektomi sonrası uzun süreli Foley kateter kullanımının fistül gelişim riskini önemli ölçüde azalttığını göstermektedir. Bulgular, postoperatif dönemde kateter kullanım süresinin ciddi komplikasyonlar gibi fistül önlemede önemli bir rol oynayabileceğini öne sürmektedir

Anahtar Kelimeler

Effectiveness of foley catheter usage time in prevention of urinary fistula in laparoscopic hysterectomy

Abstract

Aim: This study aimed to investigate the relationship between Foley catheter retention time and the incidence of urinary fistula in patients undergoing laparoscopic hysterectomy. Materials and Methods: The present retrospective study included a total of 312 patients who underwent laparoscopic hysterectomy for benign indications between the years 2015 and 2023. The patients were divided into two main groups according to the duration of Foley catheter use following surgery: The duration of Foley catheter use was categorized as less than three days or more than seven days. The data were subjected to comparison between the two groups, with the objective of analyzing the impact of catheter use duration on the development of postoperative urinary fistulae. Results: A postoperative urinary fistula was observed in 13 patients (4.2%) of the 312 individuals who underwent laparoscopic hysterectomy. The rate of erythrocyte suspension (ES) transfusion was significantly higher in the group with postoperative urinary fistula (38.5%). The duration of Foley catheter use was significantly shorter in patients with a postoperative urinary fistula. The results of the logistic regression analysis indicated that a longer duration of Foley catheterization was associated with a reduced risk of fistula development (OR=0.100, 95% CI: 0.012-0.797, p=0.030). Conclusion: This study demonstrates that long-term Foley catheter use after laparoscopic hysterectomy significantly reduces the risk of fistula development. The findings suggest that careful management of the duration of catheter use in the postoperative period may play an important role in preventing serious complications such as fistula.

Keywords

References

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Details

Primary Language

Turkish

Subjects

Obstetrics and Gynaecology

Journal Section

Research Article

Authors

Mehmet Cengiz Çolakoğlu
0000-0003-4518-6016
Türkiye

Arif Caner Erdoğan ^*
0000-0001-5749-4134
Türkiye

Fatih Akkuş
0000-0001-7037-9165
Türkiye

Ali Acar
0009-0006-1474-3958
Türkiye

Publication Date

August 25, 2025

Submission Date

February 15, 2025

Acceptance Date

August 6, 2025

Published in Issue

Year 2025 Volume: 64 Number: Özel Sayı: 1 (11. Ulusal Ürojinekoloji Kongresi Bildiri Kitapçığı)

DOI

https://doi.org/10.19161/etd.1640295

IZ

https://izlik.org/JA47DR33RB

Cite

RIS / Bibtex

Vancouver

1.Mehmet Cengiz Çolakoğlu, Arif Caner Erdoğan, Fatih Akkuş, Ali Acar. Laparoskopik histerektomide foley katater kullanım süresinin üriner fistül önlenmesindeki etkinliği. EJM. 2025 Aug. 1;64(Özel Sayı: 1 (11. Ulusal Ürojinekoloji Kongresi Bildiri Kitapçığı):19-24. doi:10.19161/etd.1640295