Voiding Trial in Office after Unsuccessful Voiding Trial in Postoperative Unit. How Many More Days is Enough?

Behbehani, Sadikah; Pham, Tiffany; Islam, Md. Shahidul; Liu, L.; Wasson, Megan; Yi, Johnny

doi:10.1016/j.jmig.2018.09.142

Cited by 2 publications

(2 citation statements)

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“…A voiding trial is commonly considered unsuccessful if the patient emptied <50% of instilled fluid into the bladder or had a postvoid residual ≥150mL. In such cases, patients should be offered reinsertion of the urinary catheter or intermittent self-catheterization [183]. Huang et al [184] studied patients undergoing anterior colporrhaphy with or without hysterectomy and reported that voiding dysfunction with catheter removal was not more on postoperative day 2 than on postoperative day 4.…”

Section: The Postoperative Care Phasementioning

confidence: 99%

Enhanced Recovery and Surgical Optimization Protocol for Minimally Invasive Gynecologic Surgery: An AAGL White Paper

Stone¹,

Carey

Fader³

et al. 2021

Journal of Minimally Invasive Gynecology

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This is the first Enhanced Recovery After Surgery (ERAS) guideline dedicated to standardizing and optimizing perioperative care for women undergoing minimally invasive gynecologic surgery. The guideline was rigorously formulated by an American Association of Gynecologic Laparoscopists Task Force of US and Canadian gynecologic surgeons with special interest and experience in adapting ERAS practices for patients requiring minimally invasive gynecologic surgery. It builds on the 2016 ERAS Society recommendations for perioperative care in gynecologic/oncologic surgery by serving as a more comprehensive reference for minimally invasive endoscopic and vaginal surgery for both benign and malignant gynecologic conditions. For example, the section on preoperative optimization provides more specific recommendations derived from the ambulatory surgery and anesthesia literature for the management of anemia, hyperglycemia, and obstructive sleep apnea. Recommendations pertaining to multimodal analgesia account for the recent Food and Drug Administration warnings about respiratory depression from gabapentinoids. The guideline focuses on workflows important to high-value care in minimally invasive surgery, such as same-day discharge, and tackles controversial issues in minimally invasive surgery, such as thromboprophylaxis. In these ways, the guideline supports the American Association of Gynecologic Laparoscopists and our collective mission to elevate the quality and safety of healthcare for women through excellence in clinical practice.

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Section: The Postoperative Care Phasementioning

confidence: 99%

Enhanced Recovery and Surgical Optimization Protocol for Minimally Invasive Gynecologic Surgery: An AAGL White Paper

Stone¹,

Carey

Fader³

et al. 2021

Journal of Minimally Invasive Gynecology

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“…Currently, indwelling catheters are often used to treat urinary retention in clinical practice; however, patients may find catheterization to be distressing, undignified, and uncomfortable. Furthermore, prolonged indwelling catheters increase the chance of urinary tract infection and the length of hospital stay [9,10].…”

Section: Introductionmentioning

confidence: 99%

Effects of Acupuncture on Hospitalized Patients with Urinary Retention

Chen

Sun

et al. 2020

Evidence-Based Complementary and Alternative Medicine

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Objective. The aim of this study was to investigate the effects of acupuncture on urinary retention and provide treatment suggestions. Methods. A total of 113 hospitalized patients with urinary retention were included in this study. The GV20, CV6, CV4, CV3, ST28, SP6, and SP9 points were selected as the main acupoints. Acupuncture therapy was conducted for 30 minutes per session. The total number of treatment sessions was determined by the symptoms and the length of hospital stay. Bladder postvoid residual urine volume (PVR) was measured pretreatment and posttreatment by ultrasonic. Efficacy defined as spontaneous urination and a residual urine volume <50 mL was measured. Results. The median number of acupuncture treatment sessions was 3 (range, 1–12 times). Acupuncture treatment significantly reduced the PVR (545.1 ± 23.9 mL vs 67.4 ± 10.7 mL; p<0.001). Among the 113 patients, 99 (87.6%) patients were cured and 8 (7.1%) patients were improved of their urinary retention. The remaining 6 (5.3%) patients’ urinary retention did not improve. The effective rate was 94.7%. There was significant difference in the efficacy rate between patients with one urinary catheterization and with two or more. Acupuncture treatment was not associated with side effects. Conclusion. Acupuncture is an effective and safe treatment option for urinary retention. Early application of acupuncture treatment should be considered in clinic, and repeated urinary catheter insertion and removal should be avoided. Our study suggests that a randomized controlled study with a large sample size to verify the efficacy of acupuncture for the treatment of urinary retention is warranted.

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Voiding Trial in Office after Unsuccessful Voiding Trial in Postoperative Unit. How Many More Days is Enough?

Cited by 2 publications

References 0 publications

Enhanced Recovery and Surgical Optimization Protocol for Minimally Invasive Gynecologic Surgery: An AAGL White Paper

Enhanced Recovery and Surgical Optimization Protocol for Minimally Invasive Gynecologic Surgery: An AAGL White Paper

Effects of Acupuncture on Hospitalized Patients with Urinary Retention

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