Pelvic Organ Prolapse, Urinary Retention
Conditions
Keywords
Urinary Retention, Pelvic Organ Prolapse, Vaginal surgery, Urinary catheter
Brief summary
Comparison incident of urinary retention in patients with vaginal surgery of pelvic organ prolapse, who removed urinary catheter at 24 hours versus 48 hours after surgery
Detailed description
Vaginal surgery of pelvic organ prolapse needs to insert urinary catheter for monitoring post-operative complication, hemodynamic status, and prevention post-operative urinary retention. Urinary retention occur 2.4 - 43% after pelvic organ prolapse surgery, whereas retaining urinary catheter is common cause of urinary tract infection, often hospital-acquired infection. At Rajavithi hospital always remove urinary catheter at 48 hour after surgery. Accordingly, appropriated time for removing urinary catheter in patients with vaginal surgery of pelvic organ prolapse is unclear. This study aims to reduce timing for removing urinary catheter after vaginal surgery, not increase urinary retention and re-catheterization and reduce urinary tract infection and day of hospital stay.
Interventions
PROCEDURERemoving urinary catheter
Removing urinary catheter after vaginal surgery of pelvic organ prolapse
Sponsors
Department of Medical Services Ministry of Public Health of Thailand
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Caregiver, Investigator)
Masking description
Single blind (Care provider, investigator)
Eligibility
Sex/Gender
FEMALE
Age
45 Years to 80 Years
Healthy volunteers
Yes
Inclusion criteria
* Woman with pelvic organ prolapse, who undergoing vaginal surgery and agrees to participate in this study * Able to understand and communicate Thai language
Exclusion criteria
* Woman with diabetes mellitus with HbA1C \> 10.9% * Woman with stroke * Woman with urinary tract infection before surgery * Woman with urinary retention before surgery * Woman, who experienced surgery for urinary incontinence * Woman, with operative complication including of hemorrhagic shock (Blood pressure \< 90/60 mmHg, Heart rate \> 120 beats per minute, Intra-operative blood loss \> or = 750 ml), urinary tract injury, bowel injury
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Urinary retention | Through study completion, an average of 1 year | Incident of urinary retention (Post-void residual urine at least 150 ml) after removing urinary catheter at 24 hour comparison with 48 hour after vaginal surgery of pelvic organ prolapse |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Re-catheterization after removing urinary catheter | Through study completion, an average of 1 year | Incident of re-catheterization after removing urinary catheter at 24 hour comparison with 48 hour after vaginal surgery of pelvic organ prolapse |
| Urinary tract infection | Through study completion, an average of 1 year | Incident of urinary tract infection (positive urine culture) after removing urinary catheter at 24 hour comparison with 48 hour after vaginal surgery of pelvic organ prolapse |
Countries
Thailand
Outcome results
None listed