Strict Need to Void After Same-day Discharge, Non-urogynecologic, Minimally Invasive Hysterectomy

Johns Hopkins University205 enrolled

Overview

Patients who are undergoing non-urogynecologic, minimally invasive (laparoscopic, robotic) hysterectomy who are discharged the day of surgery will be randomized to a strict need to void versus no need to void prior to discharge. To determine if a strict versus liberal voiding trial following the aforementioned surgery in same day discharge patients increases rates of post-operative urinary retention, urinary tract infection (UTI), or re-presentation and if there is a difference in Post-Anesthesia Care Unit (PACU) time and costs.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

NONE

Enrollment

205

Conditions

Urinary Retention Postoperative

Interventions

No Strict need to void following surgeryBEHAVIORAL

Certain patient will be randomized without a strict need to void prior to discharge following surgery.

Strict need to void following surgeryBEHAVIORAL

Certain patient will be randomized with a strict need to void prior to discharge following surgery.

Eligibility

Sex: FEMALEMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Women 18+ undergoing minimally invasive benign, non-urogynecologic hysterectomy * English speaking Exclusion Criteria: * At the surgeons discretion based on amount of bladder dissection the patient can be removed from the study at the conclusion of surgery * Any patient with a history of prior urologic procedures * Patients with any baseline known urinary disease * Any bladder injury at the time of surgery * Any combined cases with other surgical services * Patients undergoing surgery for prolapse or incontinence symptoms * Patients who are ultimately not discharged the same day and remain in house overnight

Locations (1)

Johns Hopkins Hospital

Baltimore, Maryland, United States

Outcomes

Primary Outcomes

Amount of time spent in PACU

This will assess the amount of time spent (in hours) in PACU.

Time frame: 2 years

Secondary Outcomes

Rates of urinary retention

Will measure rates of urinary retention.

Time frame: 2 years

Rates of UTI

Will measure rates of UTI.

Time frame: 2 years

Rates of re-presentation to the ER

Will measure rates of re-presentation to ER.

Time frame: 2 years

Cost of stay in PACU

This will assess the cost pertaining to the time spent in the PACU to determine if the time spent has a significant impact on the cost.

Time frame: 2 years

Data from ClinicalTrials.gov

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