Actively Recruiting
Duration of Urinary Catheterization
Led by University of Southern California · Updated on 2026-02-05
176
Participants Needed
2
Research Sites
430 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
This study is being conducted to determine the length of time a urinary catheter is needed to drain urine from the bladder after colorectal surgery. Urinary retention is a well known complication after pelvic colorectal surgery, and current practice is to continue urinary catheterization for 3- days following pelvic colorectal surgery in an effort to avoid this complication. However, prolonged urinary catheterization is associated with increased risk of urinary tract infections as well as longer hospital stays. The investigators hypothesize that postoperative urinary catheters may be safely removed on postoperative day 1 without increased urinary retention rates. The purpose of this study is to evaluate whether a shorter duration of urinary catheterization (1 day) is non-inferior when compared to standard duration (3 days) in regards to postoperative urinary retention. The investigators plan to perform a prospective, randomized, non-inferiority trial comparing the urinary catheter duration of 1 day and 3 days with the primary endpoint of postoperative urinary retention. Secondary endpoints are urinary tract infection and length of hospital stay. The participants will be randomly assigned to the control group (catheter removal on postoperative day 3) or the experimental group (catheter removal on postoperative day 1).
CONDITIONS
Official Title
Duration of Urinary Catheterization
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Elective total mesorectal excision procedures including low anterior resection, abdominoperineal resection for rectal cancer, and proctectomy for inflammatory bowel disease
- All surgical approaches included: open, laparoscopic, and robotic
- Patients who received neoadjuvant chemotherapy and/or radiation treatments
- Age 18 years or older
- American Society of Anesthesiologists (ASA) class I-III
- Ability to understand and willingness to sign a written informed consent form
You will not qualify if you...
- Emergency or urgent surgery
- Total mesorectal excision combined with other major surgeries on the same day
- Genitourinary tract injury during surgery
- History of urinary retention after previous surgery or catheter removal
- Untreated urinary retention
- Need for prolonged or replacement urinary catheter after surgery for reasons other than urinary retention
- History of neurogenic bladder
- Chronic indwelling Foley or suprapubic catheterization
- History of cystectomy or surgically created urinary conduit including neobladder and ileal conduit
- Age under 18 years
- Vulnerable patients such as incarcerated individuals or those unable or unwilling to provide informed consent
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Trial Site Locations
Total: 2 locations
1
Keck Hospital of USC
Los Angeles, California, United States, 90033
Actively Recruiting
2
Los Angeles County Hospital (LAC/USC)
Los Angeles, California, United States, 90033
Actively Recruiting
Research Team
S
Sarah Koller, MD
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
PREVENTION
Number of Arms
2
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