A randomized controlled trial comparing two voiding trials after midurethral sling with or without colporrhaphy

Williams, Kathryn S.; Pilkinton, Marjorie L.; Shalom, Dara F.; Winkler, Harvey A.

doi:10.1007/s00192-018-3783-3

Cited by 7 publications

(13 citation statements)

References 12 publications

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“…As we seek to define standard methods, the risk of presentation for urinary retention after initial void trial is key, but only 8 of 21 studies reported this outcome. 1,5,13,24,25,28,29,34 There was consistency between studies with no difference in urinary retention outcomes between groups and, even in the studies utilizing a high PVR cutoff (500 mL), the range was from 0-3%. Urinary retention requiring an emergent visit or intervention is an uncommon occurrence and this risk must be balanced with the increased burden and UTI risk of prolonged or unnecessary catheterization.…”

Section: Discussionmentioning

confidence: 91%

“…When comparing backfill-assisted VT and autofill VT, time to spontaneous void was shown to be shorter with a backfill-assisted VT as compared to autofill VT in one randomized trial; 21 otherwise proportion discharged with catheter, proportion of VT failure, retention after initial VT, time in PACU, time to discharge, duration of catheterization, patient burden and urinary tract infection (UTI) rate were similar. When comparing backfillassisted versus FoS assessment, time to discharge was shown to be shorter with FoS as compared to backfill-assisted VT in one study, 25 with equal outcomes reported for proportion discharged home with catheter, number of postoperative visits, proportion of VT failure, surgery for retention, retention after initial VT, duration of catheterization and UTI. None of the included studies reported outcomes related to number of postoperative calls and provider burden.…”

Section: Trials Comparing Void Trial Methodsmentioning

confidence: 99%

“…VT methods included backfill-assisted (in OR vs PACU), autofill, and FoS studies. Five studies (n=368) compared backfill-assisted VT to autofill VT, 1,2,21-23 three studies (n=339) compared backfill-assisted VT and FoS assessment, 12,24,25 one (n=59) compared backfill in OR to backfill in PACU, 26 and one (n=150) compared backfill-assisted with and without PVR assessment. 5 Overall, the majority of the outcomes were similar despite using different VT methods (Table 1).…”

Section: Trials Comparing Void Trial Methodsmentioning

confidence: 99%

See 2 more Smart Citations

A Systematic Review of Randomized Trials Investigating Methods of Postoperative Void Trials Following Benign Gynecologic and Urogynecologic Surgeries

Dieter

Conklin²,

Willis-Gray

et al. 2021

Journal of Minimally Invasive Gynecology

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Section: Discussionmentioning

confidence: 91%

Section: Trials Comparing Void Trial Methodsmentioning

confidence: 99%

Section: Trials Comparing Void Trial Methodsmentioning

confidence: 99%

See 1 more Smart Citation

A Systematic Review of Randomized Trials Investigating Methods of Postoperative Void Trials Following Benign Gynecologic and Urogynecologic Surgeries

Dieter

Conklin²,

Willis-Gray

et al. 2021

Journal of Minimally Invasive Gynecology

View full text Add to dashboard Cite

show abstract

“…Proposed first by Ingber et al, 10 the FOS method continued to use retrograde bladder fill but allowed patients to pass the VT if they judged their FOS to be at least 5 on a scale of 1 to 10, regardless of PVR. Several randomized trials found FOS to be noninferior to the RF method 1,11,12 . These studies show us that the PVR is not necessarily the most important variable when considering postoperative voiding function.…”

Section: Discussionmentioning

confidence: 77%

“…In some institutions, RF has been challenged by the hospital infection committees, who interpret it as a breach into a closed system and, therefore, a risk for catheter-associated UTIs 6 . Recently, assessment of voiding function based on the patient’s subjective force of urinary stream (FOS) after a retrograde bladder fill was found to be a safe method of evaluating postoperative voiding function 1,10–12 . Furthermore, in this method of evaluation, postvoid residual volume (PVR) was not part of this voiding assessment.…”

mentioning

confidence: 99%

Voided Volume for Assessment of Bladder Emptying After Female Pelvic Floor Surgery: A Randomized Controlled Trial

Popiel

Getaneh²,

Yeh³

et al. 2022

UROGC

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Importance To study alternative voiding trial (VT) methods after urogynecologic surgery that may potentially decrease catheterization. Objective The aim of the study is to compare voiding assessment based on a minimum spontaneous voided volume of 150 mL with the standard retrograde fill (RF) approach in women after urogynecologic procedures. Study Design Women undergoing urogynecologic surgery were randomized to RF or spontaneous void (SV) groups. Women in the RF group had their bladders backfilled with 300 mL of saline before catheter removal, those in the SV group did not. To pass the VT, patients in the RF group were required to void 150 mL at one time within 60 minutes, and patients in the SV group had to do the same within 6 hours. The primary outcome was the VT failure rate. We also compared the false pass rate, urinary tract infections, satisfaction, and preference of VT method. Results One hundred nine women were enrolled in the study, 54 had SV and 55 underwent RF. Baseline characteristics were not significantly different other than history of prior hysterectomy. There was no significant difference in procedures between the groups. There was no difference in VT failure rate between the groups—SV (7.4%) and RF (12.7%, P = 0.39). The false pass rate was 0 in each group. Urinary tract infection rates were similar between SV (14.8%) and RF (14.5%) groups (P = 0.34). Patient satisfaction for VT method was not significantly different. Conclusions Spontaneous VT was not superior to retrograde void trial. Therefore, we cannot recommend one method of VT after urogynecologic surgery. Condensation Voiding assessment based on minimum SV of 150 mL is comparable with VT with RF after surgeries for prolapse and urinary incontinence.

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The efficacy of force of stream assessment for post-operative catheter management: a retrospective cohort study

2022

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A randomized controlled trial comparing two voiding trials after midurethral sling with or without colporrhaphy

Cited by 7 publications

References 12 publications

A Systematic Review of Randomized Trials Investigating Methods of Postoperative Void Trials Following Benign Gynecologic and Urogynecologic Surgeries

A Systematic Review of Randomized Trials Investigating Methods of Postoperative Void Trials Following Benign Gynecologic and Urogynecologic Surgeries

Voided Volume for Assessment of Bladder Emptying After Female Pelvic Floor Surgery: A Randomized Controlled Trial

The efficacy of force of stream assessment for post-operative catheter management: a retrospective cohort study

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