Purpose: Urinary catheterization is a common technique in clinical practice. There is, however, no consensus on management prior to removal of the indwelling catheter for short-term patients. This systematic review examined the necessity of clamping before removal of an indwelling urinary catheter in short-term patients.
Methods: A systematic literature review was conducted using eight databases and predetermined keywords-guided searches. Some 2,515 studies were evaluated. Ten studies that met the inclusion criteria were selected.
Results: The quality of the studies was assessed using the Jadad scoring system. Only 40.0% of studies were rated as high quality. This review found that catheter clamping prior to removal was not necessary for the short-term patient. When made a comparison with the unclamping group, there was no significant difference in recatheterization risk, risk of urine retention, patients' subjective perceptions and rate of urinary tract infection.
Conclusions: This review indicated that bladder training by clamping prior to removal of urinary catheters is not necessary in short-term catheter patients. In addition, clamping carries the risk of complications such as prolonging urinary catheter retention and urinary tract injury. Further investigation requires higher quality methodologies and more diverse study designs.
Keywords: catheters; device removal; indwelling; systematic review.
Copyright © 2016. Published by Elsevier B.V.
Ma S, Gu J, Fan X. Ma S, et al. BMJ Open. 2023 Feb 15;13(2):e064075. doi: 10.1136/bmjopen-2022-064075. BMJ Open. 2023. PMID: 36792329 Free PMC article.
Gong Y, Zhao L, Wang L, Wang F. Gong Y, et al. J Clin Nurs. 2017 Apr;26(7-8):1131-1136. doi: 10.1111/jocn.13579. Epub 2017 Mar 7. J Clin Nurs. 2017. PMID: 27627789 Clinical Trial.
Fernandez RS, Griffiths RD. Fernandez RS, et al. J Wound Ostomy Continence Nurs. 2005 Sep-Oct;32(5):329-36. doi: 10.1097/00152192-200509000-00012. J Wound Ostomy Continence Nurs. 2005. PMID: 16234728 Review.
Dejmek M, Kučera T, Ryšková L, Čermáková E, Šponer P. Dejmek M, et al. Acta Chir Orthop Traumatol Cech. 2017;84(5):368-371. Acta Chir Orthop Traumatol Cech. 2017. PMID: 29351538 Clinical Trial. Czech.
Schumm K, Lam TB. Schumm K, et al. Neurourol Urodyn. 2008;27(8):738-46. doi: 10.1002/nau.20645. Neurourol Urodyn. 2008. PMID: 18951451 Review.
Ma S, Gu J, Fan X. Ma S, et al. BMJ Open. 2023 Feb 15;13(2):e064075. doi: 10.1136/bmjopen-2022-064075. BMJ Open. 2023. PMID: 36792329 Free PMC article.
Gad MH, AbdelAziz HH. Gad MH, et al. Cureus. 2021 Jul 9;13(7):e16284. doi: 10.7759/cureus.16284. eCollection 2021 Jul. Cureus. 2021. PMID: 34422457 Free PMC article. Review.
Ellahi A, Stewart F, Kidd EA, Griffiths R, Fernandez R, Omar MI. Ellahi A, et al. Cochrane Database Syst Rev. 2021 Jun 29;6(6):CD004011. doi: 10.1002/14651858.CD004011.pub4. Cochrane Database Syst Rev. 2021. PMID: 34184246 Free PMC article.
Kranz J, Schmidt S, Wagenlehner F, Schneidewind L. Kranz J, et al. Dtsch Arztebl Int. 2020 Feb 7;117(6):83-88. doi: 10.3238/arztebl.2020.0083. Dtsch Arztebl Int. 2020. PMID: 32102727 Free PMC article. Review.
Kim MK, Lee S, Yoon I, Kook G, Jung YS, Bawazir SSM, Stefanini C, Lee HJ. Kim MK, et al. Sensors (Basel). 2018 Jul 14;18(7):2288. doi: 10.3390/s18072288. Sensors (Basel). 2018. PMID: 30011944 Free PMC article.