Patient Discharge, Urinary Complication
Conditions
Brief summary
The investigators hypothesize that backfilling the bladder postoperatively will reduce time to spontaneous void and subsequent discharge from the post-anesthesia care unit.
Detailed description
This is a prospective, single-blinded, randomized clinical trials in which patients undergoing laparoscopic hysterectomy will be randomized in a 1:1 ratio to have the bladder backfilled at the completion of the surgery prior to Foley catheter removal. If the patient is assigned to group A, 200 mL of room temperature, sterile normal saline will be instilled retrograde into the bladder at the completion of the surgery prior to Foley catheter removal and the Foley subsequently removed intraoperatively. If the patient is assigned to group B, the Foley catheter will be removed intraoperatively at completion of the procedure. The standard protocol is to use a 16F Foley catheter for gynecologic laparoscopy cases, and patients in both groups will receive the same size catheter. After surgery, time to discharge and time to void will be recorded.
Interventions
PROCEDUREBackfill
Participants undergoing laparoscopic hysterectomy have the bladder filled with 200 mL saline prior to Foley removal at the end of surgery.
Sponsors
University of Tennessee
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 80 Years
Healthy volunteers
Yes
Inclusion criteria
* Women aged 18 to 80 * Undergoing planned laparoscopic hysterectomy as a day surgery procedure
Exclusion criteria
* Women younger than 18 or older than 80 years of age * Undergoing a non-laparoscopic unplanned surgical procedure
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to discharge | Within 3 days following surgery | The time to discharge for each participant, which will be defined as the length of time from surgery completion to discharge from the post-anesthesia care unit, will be recorded. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time to void | Within 3 days following surgery | The time to void for each participant, which will be defined as the length of time from surgery completion to the time of participant's first voiding event, will be recorded. |
Countries
United States
Outcome results
None listed