Postoperative Complications, Surgery, Urinary Retention
Conditions
Keywords
laparoscopy, urinary retention
Brief summary
To determine whether partially filling the bladder after outpatient gynaecological laparoscopy expedites time to first void and discharge. Methods: A single site, single-blinded, randomized control trial in which eligible patients undergo partial retrograde bladder filling immediately post-operatively compared to bladder drainage and foley catheter removal. Primary outcome is time to first void, secondary outcomes include time to discharge, post-operative complications and patient satisfaction.
Interventions
PROCEDURERetrograde bladder filling
The bladder will be filled with a large syringe through the urinary catheter (which is left in place for the surgery) with 200mL of sterile saline, and then the catheter will be removed.
Sponsors
Women's College Hospital
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Women * Undergoing elective laparoscopy for a gynaecological indication * Plan for same day discharge * Able to provide informed consent
Exclusion criteria
* Pregnancy * Undergoing procedure for pelvic organ prolapse, stress urinary incontinence, or nerve detrapment * Prior hysterectomy, or incontinence/pelvic organ prolapse procedures * Pre-existing voiding dysfunction * Known recurrent urinary tract infections * Known genito-urinary malformations * Known for neuromuscular disorders such as multiple sclerosis * Use of anticholinergic medication * Intraoperative bladder related complications * Need for discharge with indwelling foley catheter * Patients requiring overnight admission for any reason
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to first void | 3 hours | Time in minutes from arrival in post-operative anesthesia unit (PACU) to first void |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time to discharge | 8 hours | Time in minutes from arrival in PACU to discharge from PACU |
| Post-operative complications | 1 week following surgery | Urinary tract infections, or other reported complications |
| Patient satisfaction | 1 week | Patients' subjective experience in both groups regarding time spent in PACU and first postoperative week |
| Post-operative pain | Assessed at the 1 hour mark | visual analogue scale of postoperative pain, assessed in PACU |
Countries
Canada
Outcome results
None listed