Catheter and Stent Removal After VVF Repair

Recommended Removal Sequence

• The catheter must remain in place for 2-3 weeks to allow adequate healing of the bladder repair, with a mean duration of catheterization of 15.75 days 1, 2
• Remove the SPC after confirming adequate spontaneous voiding following Foley removal, as it serves as a safety backup if urinary retention develops after Foley removal 1, 2

Clinical Rationale

• The SPC provides safety by allowing for backup drainage if urinary retention occurs, avoiding emergency catheterization that could disrupt the repair 1, 2

Important Caveats

• Extend catheterization if significant hematuria persists beyond postoperative day 10, suggesting incomplete healing, or if the patient has concurrent neurological injury requiring prolonged bladder drainage 1
• Do not rush removal in complex cases, as extended catheterization (up to 4 weeks) is acceptable for complicated repairs 1, 4

Avoid Common Pitfalls

• Never remove the SPC before the Foley, as this eliminates the safety backup for bladder drainage 1, 2