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Bladder care after abdominal hysterectomy: a comparison of in-and-out versus continuous drainage

Methods Patients undergoing total abdominal hysterectomy for benign conditions had postoperative bladder care in accord with their consultants’ policy. They had either indwelling or in-and-out catheter after induction of anaesthesia. Indwelling catheters were removed 36 hours postoperatively. Midstream specimens of urine were sent for culture preoperatively as well as the third day postoperatively. Outcome measures included a mid-stream specimen of urine (postoperative) showing growth = 100 000 organisms/ml, postoperative pyrexia = 38oC with urinary symptoms or retention of urine.