Summary of evidence on prevention and management of bladder dysfunction in patients after radical hysterectomy.
Chao Zeng, Yuanyuan Mi, Fulan Wang and 6 others
PMID 38989536WHAT IT FOUND
Nurses can use summarized evidence after radical hysterectomy: remove catheters early, prefer intermittent catheterization, train patients and families, and avoid routine antibiotics or bladder flushing.
The authors say the evidence needs further verification.
Key findings
01The review identified 13 studies and summarized 29 pieces of best evidence.
02Intermittent catheterization was recommended as the first choice for helping patients empty their bladder, and long-term indwelling catheterization was recommended as the last choice.
03For home intermittent catheterization, patients should be trained, supervised, and followed up by medical staff.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The authors state the included literature was small and low quality, so the summarized evidence needs further verification. Only one randomized controlled trial was included. There were no guidelines specific to cervical cancer after radical hysterectomy, so the review used guidelines for neurogenic bladder function. Cultural differences across regions may have introduced selection bias. The paper summarizes recommended evidence rather than reporting a new patient outcome.
Declared interests
Funding came from the Chongqing Science and Health Joint Medical Research Project and a Chongqing key specialty construction project for clinical nursing. The authors declared no conflict of interest.
The easy way to misread this
Do not read this as proof that these measures restore bladder function. It is an evidence summary, not a trial, and the authors state the included literature was small and of low quality.