Urinary Catheter Duration After Colorectal Surgery

This study is looking at how long a urinary catheter (a tube to drain urine from the bladder) is needed after colorectal surgery. Currently, catheters are often kept in for about 3 days to prevent urinary retention (when the bladder can't empty completely). However, keeping a catheter in for a long time can lead to infections and longer hospital stays. This study will compare removing the catheter on day 1 after surgery to the standard practice of removing it on day 3. Researchers want to see if early removal is safe and doesn't increase the risk of urinary retention. You may be able to join if you are an adult having elective surgery for rectal cancer or inflammatory bowel disease involving total mesorectal excision. The study aims to enroll 176 participants.

Study design
This is an interventional study comparing two different timings for urinary catheter removal after colorectal surgery. It plans to enroll 176 participants.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
The primary outcome, rate of urinary retention, will be measured from the time of surgery until discharge from the hospital, which is an average of 4 days.

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NCT04359069

Duration of Urinary Catheterization

Recruiting
NAAges 18+InterventionalPrevention
University of Southern California
~176 participants
Updated 2026-02-05 on ClinicalTrials.gov
What's tested:Urinary catheter removal on postoperative day 1Urinary catheter removal on postoperative day 3

At a glance

Recruiting sites
2 of 2 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Rate of urinary retention
Measured over From time of surgery to time of discharge from the hospital, an average of 4 days
Colorectal Surgery
2 sites across 1 states
California2

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Eligibility criteria

Inclusion

Elective procedures involving total mesorectal excision, including low anterior resection and abdominoperineal resection for rectal cancer as well as proctectomy for inflammatory bowel disease.
All approaches (open, laparoscopic and robotic) will be included, as the approaches not differ in the total mesorectal excision technique.
Patients who received neoadjuvant chemotherapy and/or radiation treatments will be included.
Age ≥ 18 years.
American Society of Anesthesiologists (ASA) class I-III.
Ability to understand and the willingness to sign a written informed consent.

Exclusion

Patients undergoing emergent or urgent surgery.
Patients undergoing total mesorectal excision in combination with other major surgical procedures on the same day should be excluded from this study.
Patients sustaining genitourinary tract injury during the procedure should be excluded postoperatively.
History of urinary retention after previous procedure, surgery, or urinary catheter removal.
History of urinary retention not being actively treated.
Patients requiring prolonged duration or replacement of urinary catheter in the postoperative period for reasons other than urinary retention should be excluded.
History of neurogenic bladder.
Patients with chronic indwelling Foley catheterization or suprapubic catheterization.
History of cystectomy and/or any surgically created urinary conduit, including neobladder and ileal conduit.
Patients less than 18 years of age should be excluded from this study.
Vulnerable patients including incarcerated patients or any patients unable or unwilling to provide informed consent will be excluded from this study.
  • Rate of urinary retentionFrom time of surgery to time of discharge from the hospital, an average of 4 days