Urethral Catheter Removal After Urologic Procedure
Conditions
Brief summary
This study is being done to see if there is a difference between the traditional method of removing a urethral catheter after surgery and waiting for the patient to urinate on their own to the saline instillation method which places either room temperature or warmed saline into the patient's bladder through the catheter before removing the catheter.
Detailed description
Voiding trials after surgery to remove a catheter can be done in different ways. Traditional method: The catheter is removed and the patient will attempt to void. Room temperature saline instillation: Room temperature saline will be placed in the patients bladder through the catheter. The catheter will be removed and the patient will attempt to void. Warmed saline group: Saline that has been warmed to 37C will be placed in the patients bladder through the catheter. The catheter will be removed and the patient will attempt to void.
Interventions
PROCEDURERoom temperature saline instillation
Saline is used as room temperature
PROCEDUREWarmed saline instillation
Saline is warmed to 37Celcius prior to instillation
PROCEDURENo saline instillation
No saline is used prior to catheter removal
Sponsors
Ronald Kaufman, MD
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients undergoing trial of void after placement of indwelling urethral catheter after urologic procedure
Exclusion criteria
* Patient incontinent at baseline. * Patient has chronic indwelling urinary catheter or uses clean intermittent catheterization at home. * Patient has documented neurogenic bladder. * No trained person to administer the instillation or perform consent. * Patient refusal to participate. * Patient unable to give informed consent. * Patient is a prisoner. * Patient is pregnant. * Patient unable to participate in notifying nursing of voids. * Nursing is unable to measure post void residual with bladder scan machine secondary to body habitus or other anatomical abnormality.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time from catheter removal to determination of passing void trial | 6 hours | The time from when the urinary catheter is removed to a successful voiding trial defined as Void of at least 100ml AND Post Void residual (PVR) \<150 or \<2/3 of the voided volume |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Catheter free rate | 30 days | Subject questioned at 30 day follow up if required to have a catheter placed after leaving the hospital |
| Urinary tract infection free rate | 30 days | Determined at 30 day phone call to patient |
| Post void residual (PVR) | Within 30 days | Successful PVR is \<150ml or \<2/3 of the voided volume |
Countries
United States
Outcome results
None listed