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N/A N=64 Randomized Supportive Care

Timing of Repeat Voiding Trials After Outpatient Pelvic Floor Surgery

Pelvic Organ Prolapse · Urinary Incontinence,Stress · Surgery

Enrolled (actual)
64
Serious AEs
0.0%
Results posted
Aug 2024
Primary outcome: Primary: Failed Office Voiding Trials — 7; 1 Participants

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Foley catheter - Early Voiding Trial (Device); Foley catheter - Late Voiding Trial (Device)
Age
Adult, Older Adult · 18+ yrs
Sex
Female
Sponsor
The Cleveland Clinic
Primary completion
Nov 2019

Outcome Measures

OutcomeResultp-value
PRIMARY
Failed Office Voiding Trials
7; 1
SECONDARY
Urinary Tract Infections
7; 2
SECONDARY
Rate of Bother From Urinary Catheter
3; 2

Summary

This study is a randomized controlled trial designed to assess the rate of failure of voiding trials in the early and late post-operative period within patients who underwent outpatient pelvic floor surgery that failed initial same day voiding trials.

Eligibility Criteria

Inclusion Criteria

  • Female patients
  • Over 18 years old
  • Speak English and are capable of giving informed consent and are able to complete the English patient questionnaire
  • Are willing to return to the office for all necessary visits associated with the study
  • Had outpatient gynecology pelvic floor surgery for prolapse or stress urinary incontinence
  • Failed the voiding trial in the recovery room
  • Discharged to home on POD#0

Exclusion Criteria

  • Pre-operative urinary retention as defined as PVR > 200ml
  • Prior incontinence surgery
  • Passed the voiding trial in the recovery room
  • Require prolonged catheterization due to urethral/bladder abnormality (ie vesicovaginal fistula, urethral diverticulum) or intra-op urethral or bladder injury or for intensive post-operative monitoring
  • Patients who take any post-operative antibiotics, other than prophylaxis during catheterization, for reasons other than a UTI as diagnosed and prescribed as part of the study
  • Patients who take any supplements to prevent UTIs, including but not limited to D-Mannose, Hiprex, or Ellura
  • Receive any post-operative vaginal estrogen during the study period
  • Have any neurological conditions that may affect bladder function (ie. Multiple sclerosis, spinal cord injuries, etc.)
  • Patients with pre-operative narcotic medication use due to chronic pain
  • Patients who take any over-active bladder medication within one week of their surgery
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03048682). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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