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- Title
Two techniques for assessing postoperative voiding function, a randomized trial.
- Authors
Myers, Erinn; Matthews, Catherine; Crane, Andrea; Connolly, AnnaMarie; Wu, Jennifer; Geller, Elizabeth
- Abstract
Introduction and hypothesis: Post-operative voiding dysfunction is common after sling placement and is assessed with a voiding trial (VT) before discharge. We hypothesized that an operating room (OR) initiated retrograde VT (OR-fill) would decrease time to discharge compared with a post-anesthesia care unit (PACU) initiated retrograde VT (PACU-fill). Methods: This was a parallel non-blinded randomized trial, of women undergoing outpatient sling surgery at a university hospital. In the OR-fill group, fill was initiated after sling placement during cystoscopy by leaving fluid in the bladder. In the PACU-fill group, fill was initiated in the PACU. Pre-VT volumes were recorded and a PVR ≤ 100 mL defined a passed VT. The primary outcome was total PACU time, defined as arrival in PACU until discharge home. Results: Thirty women were assigned to the OR-fill group and 29 to the PACU-fill group. Time from PACU arrival to VT was shorter in the OR-fill group (41.5 [31.0, 69.3] min vs 69.0 [44.0, 107.0] min, p = 0.03), but total PACU time in the groups was similar (125.0 [90.5, 180.5] min vs 131.5 [93.5, 178.0] min, p = 0.76). Bladder volume before VT was greater in the OR-fill group (557.3 ± 187.3 mL vs 433.0 ± 171.2 mL, p = 0.01). VT pass rates of the two groups were not significantly different (OR-fill 16.7% vs PACU-fill 24.1%, p = 0.48). Conclusions: OR-fill VT did not decrease total PACU time compared with PACU-fill VT. No overdistension was seen in either group; transient postoperative voiding dysfunction was common.
- Subjects
POSTOPERATIVE care; URINATION disorders; RANDOMIZED controlled trials; OUTPATIENT medical care; CYSTOSCOPY
- Publication
International Urogynecology Journal, 2017, Vol 28, Issue 10, p1567
- ISSN
0937-3462
- Publication type
Article
- DOI
10.1007/s00192-017-3310-y