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- Title
Infusion‐fill method versus standard auto‐fill trial of void protocol following a TVT‐exact procedure: A randomised controlled trial.
- Authors
Mowat, Alexandra; Brown, Bernadette; Pelecanos, Anita; Mowat, Victoria; Frazer, Malcolm
- Abstract
Objective: To establish whether the infusion method trial of void (TOV) after a mid‐urethral sling procedure, in contrast to the standard auto‐fill TOV, permits discharge home from recovery, as these procedures are eminently suited to same day discharge, and the delay in achieving a successful TOV often keeps the patient in hospital overnight. Method: A randomised controlled trial performed between December 2014 and April 2016 at the University Hospital, enrolling 40 women undergoing a mid‐urethral sling procedure for stress urinary incontinence. The women were randomised to infusion method or auto‐fill method TOV. The primary outcome was discharge home from the recovery area of theatre. Results: Discharge from recovery was not different between the two groups (odds ratio (OR) 1.3 95% CI: 0.3–5.9, P = 0.71). The rate of TOV being successfully passed in recovery was higher in the infusion‐fill group compared to the standard auto‐fill group (OR 4.5 95% CI 1.2–17.4, P = 0.025). This means that three women will undergo the infusion‐fill to achieve one more successful TOV in recovery. Conclusions: The infusion method resulted in more women passing their TOV in recovery but this did not translate into more discharges from recovery.
- Subjects
AUSTRALIA; BOWEL &; bladder training; CHI-squared test; CONFIDENCE intervals; FISHER exact test; ARTIFICIAL implants; MEDICAL protocols; STATISTICAL sampling; URINARY stress incontinence; TREATMENT of urinary stress incontinence; RANDOMIZED controlled trials; DISCHARGE planning; DATA analysis software; ODDS ratio; MANN Whitney U Test
- Publication
Australian & New Zealand Journal of Obstetrics & Gynaecology, 2018, Vol 58, Issue 5, p564
- ISSN
0004-8666
- Publication type
Article
- DOI
10.1111/ajo.12780