Post-operative Voiding Dysfunction: the Preferred Method for Catheterization
Voiding Dysfunction After Pelvic Organ Prolapse Surgery
About this trial
This is an interventional supportive care trial for Voiding Dysfunction After Pelvic Organ Prolapse Surgery focused on measuring Voiding dysfunction, bladder catheter, prolapse surgery, patient satisfaction
Eligibility Criteria
Inclusion Criteria:
- All pre-operative patients seen at the St. Michael's Hospital Women's Health Care Centre and consented for a POP surgery will be eligible to participate in the first part of this study.
- All patients undergoing POP surgery that choose CISC as their preferred method of bladder drainage will then be eligible for the second part of the study.
- Additional inclusion criteria for both parts of the study include: female gender, greater than 18 years of age, and able to read and write in the English language
Exclusion Criteria:
- Significant cognitive impairment, a history of neurogenic voiding dysfunction, a history of prior catheter use in the outpatient setting, as well as any patients undergoing outpatient surgery or surgery that only includes the posterior vaginal compartment.
Sites / Locations
- St. Michael's Hospital, University of Toronto
Arms of the Study
Arm 1
Arm 2
No Intervention
Active Comparator
CISC instruction post-operatively
CISC instruction pre-operatively
For those patients that are randomized to CISC instruction before surgery, instruction will begin on post-operative day one. One of the nurses from the hospital gynecology unit will teach and supervise the patients until they feel comfortable with the technique or until catheterization is no longer required (e.g. when the patient passes her voiding trial on two separate occasions). This is the protocol currently in use at our institution.
Patients allocated to the pre-operative CISC teaching group will be taught how to perform CISC by one of urogynecology nurses working at the Women's Health Care Centre. Patients will be allowed to practice until they feel comfortable with the technique. This should take approximately 30 minutes. The session will take place on the day of their pre-operative medical appointment (PAF), which normally occurs less than a month before the surgery. If a patient is not seen in PAF or is seen more than a month before her surgery, a separate appointment for CISC teaching during the month preceding the surgery will be organized. Post-operatively, a nurse from the hospital gynecology unit will review the technique to make sure the patient is still comfortable with performing CISC.