James H Ross1, Shannon L Wallace2, Cecile A Ferrando2. 1. OB/GYN & Women's Health Institute, Cleveland Clinic, Cleveland, OH, USA. rossj11@ccf.org. 2. OB/GYN & Women's Health Institute, Cleveland Clinic, Cleveland, OH, USA.
Abstract
INTRODUCTION AND HYPOTHESIS: Robust data comparing the timing of voiding trials following prolapse surgery are lacking. Filling in these knowledge gaps would be helpful in counseling patients preoperatively about the concerns regarding same-day discharge. We aimed to compare the rate of a failed void trial after apical pelvic organ prolapse (POP) repair between patients who were discharged on the day of surgery versus those discharged on postoperative day 1. METHODS: This was a retrospective matched case-control study of women who underwent either a laparoscopic/robotic or transvaginal apical POP surgery with or without concurrent hysterectomy. Patients who were discharged on postoperative day 0 (POD0) were identified as cases and matched to control patients discharged on postoperative day 1 (POD1). Patients were matched 1:1 based on age and surgical approach. RESULTS: A total of 59 patients in each group met the inclusion criteria. Of the entire cohort, 34 (28.8%) patients failed their void trial, with no statistically significant difference between those who were discharged on POD0 versus POD1 (33.9% vs 23.7%, p=0.47). Patients who were discharged on POD0 were more likely to be diagnosed with a urinary tract infection (22.0% vs 8.4%, p=0.041) during the postoperative period. CONCLUSIONS: In patients undergoing surgery for apical prolapse, there was no difference in the rate of void trial failure in those who had a catheter removal on the day of surgery compared with those who experienced removal the following day.
INTRODUCTION AND HYPOTHESIS: Robust data comparing the timing of voiding trials following prolapse surgery are lacking. Filling in these knowledge gaps would be helpful in counseling patients preoperatively about the concerns regarding same-day discharge. We aimed to compare the rate of a failed void trial after apical pelvic organ prolapse (POP) repair between patients who were discharged on the day of surgery versus those discharged on postoperative day 1. METHODS: This was a retrospective matched case-control study of women who underwent either a laparoscopic/robotic or transvaginal apical POP surgery with or without concurrent hysterectomy. Patients who were discharged on postoperative day 0 (POD0) were identified as cases and matched to control patients discharged on postoperative day 1 (POD1). Patients were matched 1:1 based on age and surgical approach. RESULTS: A total of 59 patients in each group met the inclusion criteria. Of the entire cohort, 34 (28.8%) patients failed their void trial, with no statistically significant difference between those who were discharged on POD0 versus POD1 (33.9% vs 23.7%, p=0.47). Patients who were discharged on POD0 were more likely to be diagnosed with a urinary tract infection (22.0% vs 8.4%, p=0.041) during the postoperative period. CONCLUSIONS: In patients undergoing surgery for apical prolapse, there was no difference in the rate of void trial failure in those who had a catheter removal on the day of surgery compared with those who experienced removal the following day.
Authors: Muhammad Faisal Aslam; Ali A Bazzi; Karen H Hagglund; Blake C Osmundsen Journal: Female Pelvic Med Reconstr Surg Date: 2020-02 Impact factor: 2.091
Authors: Jennifer M Wu; Catherine A Matthews; Mitchell M Conover; Virginia Pate; Michele Jonsson Funk Journal: Obstet Gynecol Date: 2014-06 Impact factor: 7.661
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