Post-Operative Voiding After Gynecological Surgery Trial (POVAGS)

Women's College Hospital

Status: Terminated

Conditions: Postoperative Complications; Urinary Retention; Surgery

Treatments: Procedure: Retrograde bladder filling

Study type: Interventional

Funder types: Other

Identifiers

NCT04198285

2019-0110-E

Details and patient eligibility

About

To determine whether partially filling the bladder after outpatient gynaecological laparoscopy expedites time to first void and discharge. Methods: A single site, single-blinded, randomized control trial in which eligible patients undergo partial retrograde bladder filling immediately post-operatively compared to bladder drainage and foley catheter removal. Primary outcome is time to first void, secondary outcomes include time to discharge, post-operative complications and patient satisfaction.

Enrollment: 42 patients

Sex: Female

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Women
• Undergoing elective laparoscopy for a gynaecological indication
• Plan for same day discharge
• Able to provide informed consent

Exclusion criteria

• Pregnancy
• Undergoing procedure for pelvic organ prolapse, stress urinary incontinence, or nerve detrapment
• Prior hysterectomy, or incontinence/pelvic organ prolapse procedures
• Pre-existing voiding dysfunction
• Known recurrent urinary tract infections
• Known genito-urinary malformations
• Known for neuromuscular disorders such as multiple sclerosis
• Use of anticholinergic medication
• Intraoperative bladder related complications
• Need for discharge with indwelling foley catheter
• Patients requiring overnight admission for any reason

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: Triple Blind

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42 participants in 2 patient groups

Retrograde filled

Experimental group

Description:

This arm will contain patients who had retrograde bladder filling upon completion of surgery with 200 milliliters (mL) of sterile saline.

Treatment:

Procedure: Retrograde bladder filling

Control

No Intervention group

Description:

This arm will contain patients who simply had the urinary catheter removed upon completion of surgery, and were left with an empty bladder.