The Impact of Post-operative Voiding Trial on Length of Stay Following Laparoscopic Hysterectomy: A Prospective, Randomized Control Trial
Minimally Invasive Surgical Procedure, Hysterectomy, Urinary Retention
About this trial
This is an interventional supportive care trial for Minimally Invasive Surgical Procedure
Eligibility Criteria
Inclusion Criteria:
- Patients scheduled to undergo a total laparoscopic hysterectomy by a gynecologic oncology surgeon for either benign or malignant disease
- planned same day discharge surgery
Exclusion Criteria:
- history of significant urinary dysfunction (such as home catheterization) or neurologic dysfunction precluding spontaneous voiding
- bilateral radical pelvic dissection (defined as bilateral ureterolysis or removal of bilateral parametria)
- surgical cases converted to laparotomy or open surgery
- Surgical or medical contra-indications (based on the surgeons or anesthesiologists' recommendations) to same day discharge requiring inpatient admission
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Active Voiding Trial
Passive Voiding Trial
At the completion of surgery, a Foley catheter was left in place. When the patient was determined to be ambulatory by the recovery room nurse, the bladder was backfilled with 300cc of sterile normal saline. Voiding 200cc or (2/3) of the backfill amount was considered passing.
At the completion of surgery, a Foley catheter was removed in the operating room. Study participants were allowed six hours to void spontaneously, with 200cc being considered adequate consistent with institution standard practice. At the completion of six hours, if spontaneous voiding has not occurred, a bladder scan was performed and additional time was allowed based on bladder volume with criteria previously established as institution standards based on published practices.