Indwelling Urinary Catheterization Versus Clean Intermittent Catheterization for the Short-term Management of Hospitalized Patients With Transient Acute Urinary Retention
Indwelling Urinary Catheterization Versus Clean Intermittent Catheterization for the Short-term Management of Hospitalized Patients With Transient Acute Urinary Retention
Objective: Acute urinary retention (AUR) is a common problem in hospitalized patients. Either
 indwelling urethral catheterization or clean intermittent catheterization (CIC) can be the
 choice of treatment. In chronic urinary retention, most physicians prefer CIC to chronic
 indwelling urethral catheter on the basis of the claim that the rate of catheter-associated
 urinary tract infection (CAUTI) is lower.

 Method: The patients were randomized into indwelling urethral catheter and CIC groups. The
 primary outcomes of the study were catheter-associated asymptomatic bacteriuria and CAUTI.
 The secondary outcomes were pain, hematuria, cloudy urine, and quality of life.
We queried the hospitalized patients in Ramathibodi Hospital who developed first-time AUR
 from June 2014 to May 2015. Patients under 18 years of age with a history of urinary
 retention, urinary tract infection, and poor compliance were excluded from this study. All
 the patients gave their written informed consents. The patients were randomly divided into
 two groups depending on the type of assigned intervention: CIC and indwelling urethral
 catheter groups.

 All the patients were followed up after 2 weeks; urinalysis and urine culture were obtained
 at the time of AUR and whenever the patients developed UTI-associated symptoms. The patients
 with positive urine culture at the time of AUR were excluded from the study.
Inclusion Criteria:

 -  Hospitalized patients in Ramathibodi Hospital who developed first-time AUR from June
 2014 to May 2015.

 Exclusion Criteria:

 -  Patients under 18 years of age

 -  History of urinary retention

 -  Urinary tract infection

 -  Poor compliance