A randomized, controlled trial evaluating 2 techniques of postoperative bladder testing after transvaginal surgery.
OBJECTIVE: The purpose of this pilot study was to compare the efficacy of 2 techniques for evaluating bladder function after transvaginal surgery. STUDY DESIGN: Subjects scheduled for transvaginal, outpatient surgery were consecutively enrolled and randomized to backfill-assisted voiding trial or a trial of spontaneous voiding after surgery. RESULTS: Sixty subjects were enrolled. The mean time in the perioperative anesthesia care unit for the backfill group was 199.5 minutes vs 226.6 minutes in the spontaneous voiding group (P = .08). Subjects randomized to backfill were more likely to adequately empty their bladders and be discharged home without catheter drainage than subjects in the spontaneous voiding group (61.5% vs 32.1%, respectively, P = .02). Multiple logistic regression further demonstrated that the backfill-assisted technique predicted successful bladder emptying after vaginal surgery (P = .02). CONCLUSION: Women undergoing transvaginal outpatient surgery are more likely to empty their bladder effectively before discharge if they are evaluated with a backfill-assisted voiding trial.
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Related Subject Headings
- Urination Disorders
- Treatment Outcome
- Pilot Projects
- Obstetrics & Reproductive Medicine
- Middle Aged
- Humans
- Gynecologic Surgical Procedures
- Female
- Diagnostic Techniques, Urological
- 3215 Reproductive medicine
Citation
Published In
DOI
EISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Urination Disorders
- Treatment Outcome
- Pilot Projects
- Obstetrics & Reproductive Medicine
- Middle Aged
- Humans
- Gynecologic Surgical Procedures
- Female
- Diagnostic Techniques, Urological
- 3215 Reproductive medicine