Patient Satisfaction, Urinary Retention Postoperative
Conditions
Brief summary
Management of postoperative urinary retention often requires the use of indwelling catheters. The purpose of this study is to see if patient removal of catheters at home is non-inferior to standard office removal.
Detailed description
Voiding trials are a routine part of Urogynecologic surgery. Management of postoperative urinary retention often requires the use of indwelling catheters. However, patients often view the need for catheters as the worst part of their surgical experience, and follow-up voiding trials in the office utilize excess healthcare resources. Many Urology practices allow patient removal of catheters after procedures, though this has not been formally studied. The purpose of this study is to see if patient removal of catheters at home is non-inferior to standard office removal.
Interventions
PROCEDURECatheter removal
Catheter management strategy after surgery
Sponsors
University of North Carolina, Chapel Hill
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* All women undergoing prolapse or anti-incontinence surgery who fail their voiding trials prior to discharge * 18+ years old
Exclusion criteria
* Non-English speaking * Pregnant * Elevated PVR (\>150 mL) or dependent upon catheterization to void pre-operatively * Urethral bulking injection surgery * Intra-operative complication requiring prolonged catheterization * Unable or unwilling to remove catheter at home
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Risk of Urinary Retention in the Early Postoperative Period | 2-5 days postoperatively | The percentage of patients who have urinary retention in the early postoperative period (failed voiding trial after discharge POD 2-5) will be measured. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of nursing calls and office visits for urinary issues in the six week postoperative period | 6 week postoperative period | Number of nursing calls and office visits for voiding issues (including catheter issues, voiding dysfunction and urinary retention) will be measured. |
Countries
United States
Outcome results
None listed