Optimal timing of a second postoperative voiding trial in women with incomplete bladder emptying after vaginal reconstructive surgery: A randomized trial
American Journal of Obstetrics and Gynecology Aug 03, 2020
Schachar JS, Ossin D, Plair AR, et al. - Significant variation has been observed in rates of postoperative incomplete bladder emptying after pelvic reconstructive surgery. Researchers sought to determine the optimal timing of a repeat voiding trial in women who have unsuccessful same day voiding trials. Comparison was performed of the outcomes of a second voiding trial performed 2–4 days (earlier group) vs 7 days (later group) postoperatively in women with incomplete bladder emptying after vaginal prolapse surgery. Further, they assessed postoperative urinary tract infection rates, total days with a catheter, and patient-reported catheter bother between groups. Enrollment was performed of a total of 102 women undergoing multicompartment vaginal repair; 38 exited on postoperative day 0, leaving 64 women for randomization (4 of whom withdrew after randomization). Outcomes suggest a 7-fold higher risk of an unsuccessful repeat office voiding trial if performed within 4 days of surgery than when performed within 7 days of surgery among women with incomplete bladder emptying after multicompartment prolapse repair. In addition, the risk of an unsuccessful follow-up office voiding trial increases in correlation with requiring additional prescriptions for analgesia.
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