Urinary Retention Postoperative
Conditions
Keywords
Minimally invasive hysterectomy, Urinary retention, Some day discharge
Brief summary
Patients who are undergoing non-urogynecologic, minimally invasive (laparoscopic, robotic) hysterectomy who are discharged the day of surgery will be randomized to a strict need to void versus no need to void prior to discharge. To determine if a strict versus liberal voiding trial following the aforementioned surgery in same day discharge patients increases rates of post-operative urinary retention, urinary tract infection (UTI), or re-presentation and if there is a difference in Post-Anesthesia Care Unit (PACU) time and costs.
Interventions
BEHAVIORALNo Strict need to void following surgery
Certain patient will be randomized without a strict need to void prior to discharge following surgery.
BEHAVIORALStrict need to void following surgery
Certain patient will be randomized with a strict need to void prior to discharge following surgery.
Sponsors
Johns Hopkins University
Study design
Allocation
RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Women 18+ undergoing minimally invasive benign, non-urogynecologic hysterectomy * English speaking
Exclusion criteria
* At the surgeons discretion based on amount of bladder dissection the patient can be removed from the study at the conclusion of surgery * Any patient with a history of prior urologic procedures * Patients with any baseline known urinary disease * Any bladder injury at the time of surgery * Any combined cases with other surgical services * Patients undergoing surgery for prolapse or incontinence symptoms * Patients who are ultimately not discharged the same day and remain in house overnight
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Amount of time spent in PACU | 2 years | This will assess the amount of time spent (in hours) in PACU. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Rates of urinary retention | 2 years | Will measure rates of urinary retention. |
| Rates of UTI | 2 years | Will measure rates of UTI. |
| Rates of re-presentation to the ER | 2 years | Will measure rates of re-presentation to ER. |
| Cost of stay in PACU | 2 years | This will assess the cost pertaining to the time spent in the PACU to determine if the time spent has a significant impact on the cost. |
Countries
United States
Outcome results
None listed