Optimization of Spontaneous Postoperative Trial of Void Among Women (OPTION)
Urinary Retention Postoperative, Voiding Disorders
About this trial
This is an interventional diagnostic trial for Urinary Retention Postoperative focused on measuring Urogynecologic surgery, Urinary retention postoperative
Eligibility Criteria
Inclusion Criteria:
- English-speaking women, age >18yo
- Scheduled for urogynecology procedure which will need post-operative trial of void (including pelvic organ prolapse and/or stress urinary incontinence repair), with plan for same-day discharge.
Exclusion Criteria:
- Unable or unwilling to perform self-catheterizatoin either by patient or willing family member
- Pre-existing voiding dysfunction defined as documented PVR > 200 mL
- Intraoperative urinary tract injury needing indwelling catheter on discharge
- Need for overnight admission
Sites / Locations
- Women & Infants Hospital
Arms of the Study
Arm 1
Experimental
PVR-based home self-catheterization
Patients will learn to self-catheterize preoperatively prior to urogynecology surgery requiring trial of void. First post-operative void will be used to collect basic information about voiding function. All participants will leave the hospital and self-catheterize until they achieve two sequential voids with post-void residual (PVR) less than half the volume voided. The cases of urinary retention captured with abnormal PVR will be used to compare the diagnostic accuracy of several commonly-used, pre-defined parameters for trial of void.