Our Summary

This study looked at the rate of urinary tract infections associated with catheter use after a radical hysterectomy for early-stage cervical cancer. A radical hysterectomy is a surgical procedure where the uterus and surrounding tissues are removed, and is a common treatment for cervical cancer.

In the study, the medical records of patients who underwent this surgery from 2004 to 2020 were reviewed. Out of the 160 patients included in the study, 12.5% developed a urinary tract infection linked to their catheter use.

The research found that patients who smoked were almost four times more likely to get an infection, and patients who had their catheter in for more than a week were nearly twenty times more likely to get an infection. The study also found that patients who underwent a minimally invasive surgery, had a longer operating time, or lost more blood during surgery were also more likely to develop an infection.

The authors of the study suggest that patients should be encouraged to stop smoking before their surgery, and that the catheter should be removed within a week of the surgery to reduce the risk of infection.

FAQs

  1. What is a radical hysterectomy and why is it used in the treatment of cervical cancer?
  2. What factors were found to increase the likelihood of developing a urinary tract infection after a radical hysterectomy?
  3. Based on the study, what are the recommended steps to reduce the risk of urinary tract infection after a radical hysterectomy?

Doctor’s Tip

Additionally, staying hydrated, practicing good hygiene, and following your doctor’s post-operative care instructions can also help reduce the risk of developing a urinary tract infection after a radical hysterectomy. It’s important to communicate any concerns or symptoms to your healthcare provider promptly to ensure proper management and treatment.

Suitable For

Patients who are typically recommended for a radical hysterectomy include those with early-stage cervical cancer that has not spread beyond the uterus and surrounding tissues. Other factors that may influence the recommendation for this surgery include the size and location of the tumor, the patient’s overall health and medical history, and the preferences of the patient and their healthcare team.

It is important for patients to discuss the potential risks and benefits of a radical hysterectomy with their healthcare provider to determine if it is the best treatment option for their specific situation.

Timeline

Before the radical hysterectomy:

  • Patient is diagnosed with early-stage cervical cancer
  • Consultation with gynecologic oncologist to discuss treatment options
  • Pre-operative tests and evaluations to ensure patient is a candidate for surgery
  • Patient may undergo chemotherapy or radiation therapy before surgery
  • Consent for surgery is obtained
  • Patient is admitted to hospital for surgery

After the radical hysterectomy:

  • Patient is monitored closely in the hospital for complications
  • Catheter is placed to help with urinary drainage
  • Patient is encouraged to walk and move around to prevent blood clots
  • Pain management and wound care are provided
  • Patient may experience discomfort, fatigue, and emotional distress
  • Follow-up appointments with oncologist to monitor recovery and discuss further treatment options
  • Rehabilitation and physical therapy may be recommended to aid in recovery
  • Patient may experience changes in sexual function and fertility

Overall, the patient will go through a period of recovery and adjustment after a radical hysterectomy, and will need support from healthcare providers, family, and friends during this time.

What to Ask Your Doctor

  1. What is a radical hysterectomy and why is it recommended for my condition?
  2. What are the potential risks and complications associated with a radical hysterectomy?
  3. How long will I need to have a catheter after the surgery?
  4. What steps can I take to reduce my risk of developing a urinary tract infection linked to the catheter?
  5. Will I need any additional treatments or medications after the surgery?
  6. How long is the typical recovery time after a radical hysterectomy?
  7. What symptoms should I watch out for that may indicate a complication or infection after the surgery?
  8. Are there any lifestyle changes or precautions I should take after the surgery to promote healing and prevent complications?
  9. How often will I need follow-up appointments and monitoring after the surgery?
  10. Are there any specific factors about my health history or condition that may increase my risk of complications from a radical hysterectomy?

Reference

Authors: Mercadel AJ, Holloway SB, Saripella M, Lea JS. Journal: Am J Obstet Gynecol. 2023 Jun;228(6):718.e1-718.e7. doi: 10.1016/j.ajog.2023.02.019. Epub 2023 Feb 28. PMID: 36863644