Removal of Urinary Catheter After Radical Surgery

Study Overview
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Brief Summary
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Currently, the treatment of cervical cancer in early stages is performed with a radical surgery called Radical Hysterectomy with Pelvic Lymphadenectomy. This surgery, when indicated correctly, in early stages of this disease, has a cure rate of approximately 90% at 5 years, compared to the same Pelvic Radiotherapy. However, it is known that most patients with early stage cervical cancer are young (average age 45) and treating these patients with radiotherapy would have a loss of hormonal function by damage to the ovaries and damage in sexual function by radiotherapy effects in the vagina. Furthermore, if the patient has a pelvic recurrence, the option of radiotherapy treatment could not be offered. Due to the factors listed above, nowadays, in young patients with good clinical conditions and tumors in early stages, radical surgery is a good option. In this radical surgery there is a need for removal of the parametrium, and different degrees of pelvic denervation may occur causing damage of urinary function.Currently, there is no consensus about the correct moment of catheter removal and evaluation of urinary function using the residual urine test. While in some services the urinary catheter is removed on day 1 postoperatively, in others it is removed on the 14th day postoperatively. For these reasons, this study aims to compare the early catheter removal (day 1 postoperatively) versus standard in the investigator's service (7 days postoperatively) withdrawal. If this study detect that the patients may remove the urinary catheter on day 1 postoperatively, much less cost, discomfort, pain and comorbidities associated with the use of indwelling catheter for prolonged periods occur, such as urinary tract infection, use of antibiotics and even hospitalization for this reason.

Official Title
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Evaluation of Early Removal of Urinary Catheter After Radical Surgery for Cervical Cancer Treatment

Conditions
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Cervical Cancer, Radical Hysterectomy, Bladder Dysfunction

Intervention / Treatment
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* Procedure: REMOVAL OF URINARY CATHETER AFTER RADICAL SURGERY


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The inclusion criteria for this study are women with invasive cervical neoplasia treated with hysterectomy or radical trachelectomy Exclusion Criteria: Patients treated at another cancer service.
Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Retrospective Group<br> | |
| Experimental: Prospective Group<br> | Procedure: REMOVAL OF URINARY CATHETER AFTER RADICAL SURGERY<br>* Removal of urinary catheter on the first day after radical surgery<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Urinary retention | Measure the urinary retention after the surgery passing an urinary catheter after patient voiding to check the urinary residual | up to 7 days after the surgery |