Pain, Post-void Residual Volume, Recatheterization, Urinary Retention, UTI
Conditions
Brief summary
The goal of this clinical trial is to learn if voiding in a standing position in the shower, rather than sitting on a toilet, may reduce pain associated with the act of voiding, thereby facilitating micturition and decreasing both post-void residual volume and the risk of subsequent urinary retention in women that underwent benign vaginal surgeries.
Interventions
After the removal of urine catheter, for the first micturation the woman will stand in the shower with the water on her vulvar area
After the removal of urine catheter, for the first micturation the women will sit on the toiled
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult women (≥18 years old). * Undergoing benign vaginal gynecologic surgery with indwelling catheter during surgery. * No bladder injury during surgery. * Ability and willingness to consent. * No known neurological or urinary conditions affecting voiding. * No active urinary tract infection at time of catheter removal.
Exclusion criteria
* Bladder injury during surgery. * Neurological disease affecting bladder function. * Active urinary tract infection. * Inability to void either standing in shower or sitting (depending on randomization).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Post-void residual volume>150 CC | The following 7 days after surgery | after the first void following catheter removal |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Success rate of voiding trial | The following 7 days after surgery | no need for recatheterization |
| Pain during micturition | The following 7 days after surgery | Pain during micturition, using The Visual Analogue Scale (VAS) 0-10. O means no pain, 10 means worst pain imaginable. |
| UTI | The following 7 days after surgery | in the 7 days following the surgery |
| Urinary retention | The following 7 days after surgery | REST\>150 ml |
| Post-void residual volume | The following 7 days after surgery | in ml |
Countries
Israel