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 emptyingafter vaginal surgery (P = .02). CONCLUSION:Women undergoingtransvaginal outpatient surgery are more likely to empty their bladder effectively before discharge if they are evaluated with a backfill-assisted voiding trial.
RCT Entities:
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.
Authors: Erinn M Myers; Catherine A Matthews; Andrea K Crane; AnnaMarie Connolly; Jennifer M Wu; Elizabeth J Geller Journal: Int Urogynecol J Date: 2017-03-11 Impact factor: 2.894
Authors: Charelle M Carter-Brooks; Halina M Zyczynski; Pamela A Moalli; Peter G Brodeur; Jonathan P Shepherd Journal: Int Urogynecol J Date: 2018-03-29 Impact factor: 2.894
Authors: A Rebecca Meekins; Nazema Y Siddiqui; Cindy L Amundsen; Maragatha Kuchibhatla; Alexis A Dieter Journal: South Med J Date: 2017-12 Impact factor: 0.954
Authors: Sybil G Dessie; Michele R Hacker; Costas Apostolis; Ellen O Boundy; Anna M Modest; Stephanie-Marie L Jones; Peter L Rosenblatt Journal: Female Pelvic Med Reconstr Surg Date: 2016 May-Jun Impact factor: 2.091