Urinary Retention
Conditions
Keywords
midurethral sling, voiding study, voiding trial, retrograde voiding trial
Brief summary
Stress urinary incontinence (SUI) is a common condition that affects up to 35% of women. Many surgical procedures have been developed to treat SUI, and midurethral slings have gradually become the first line treatment. Voiding dysfunction, or inability for a patient to empty her bladder, immediately after surgery is common. A bladder test is often performed in the recovery area to see if the patient is able to empty her bladder. This typically consists of filling the bladder with 300 mL of saline through the foley catheter. The catheter is then removed and the patient is asked to void. The investigators then measure the voided volume and the residual left inside the bladder to determine if she is able to empty her bladder sufficiently or not. A successful voiding trial is defined as voiding 2/3 of the total volume in the bladder and having less than 100 mL left inside the bladder as residual. Our goal of this study was to evaluate efficiency and effectiveness of a retrograde postoperative voiding trial that is initiated in the operating room. Our hypothesis was that a retrograde postoperative voiding trial initiated in the operating room would be as effective as a standard retrograde postoperative voiding trial to predict postoperative voiding dysfunction while allowing for patients to spend less time in the recovery unit.
Interventions
PROCEDUREOR retrograde fill
Sponsors
University of North Carolina, Chapel Hill
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* English-speaking * Women over the age of 18 * Patients with stress urinary incontinence planning to undergo midurethral sling placement
Exclusion criteria
* Prior incontinence surgery * Concomitant surgery for pelvic organ prolapse except for anterior repair * Intraoperative cystotomy * Patients taking anticholinergic medication
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of the proportion of subjects who passed the voiding trial between the two groups | Close of incision until discharge, approximately 3 hours. | Group 1 - retrograde bladder fill in operating room Group 2 - retrograde bladder fill in post-anesthesia care unit |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of length of stay in post-anesthesia care unit between the two groups | Close of incision until discharge, approximately 3 hours | Group 1 - retrograde bladder fill in operating room Group 2 - retrograde bladder fill in post-anesthesia care unit |
Countries
United States
Outcome results
None listed