Patients undergoing surgical repair of colovesical fistula will have have "early" (post-operative day 3) cystogram and removal of bladder catheter. Outcomes from the "early" group will be compared to historical "late" group data to determine if early bladder catheter removal is safe.
There is defined time for foley/bladder catheter removal after colovesical fistula repair in the current surgical literature. This study will be a prospective cohort study evaluating outcomes after early foley catheter removal (on post-operative day 3), specifically bladder leak, 30-day readmissions and adverse events. This cohort will be compared to a retrospective "late" group, who had foley catheter removal later in their hospital course.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
48
According to review of internal clinical practices, the average duration of catheterization after Colovesical Fistula (CVF) repair is 10.8 days after CVF repair. The intervention in this study removes the Foley Catheter at 2 to 3 days post CVF repair.
UMass Memorial Medical Center Memorial Campus
Worcester, Massachusetts, United States
RECRUITINGPresence of positive urine leak on post-operative day 3 cystogram
Participants cystograms will be reviewed to detect positive urine leak, 2 to 3 days post surgery.
Time frame: up to 3 days post surgery
Foley catheter re-insertion
Participants who will require re-insertion of the foley catheter once it is removed on post-operative day 3
Time frame: up to 5 days post-surgery
Re-operations within 30 days of initial surgery
Patients who have required return to the OR within 30 days after discharge.
Time frame: up to 30 days post discharge
Hospital re-admission
Patients who have required readmission to the hospital within 30 days after discharge.
Time frame: up to 30 days post- discharge
Symptomatic post-operative urinary tract infection
Patients who have had a symptomatic urinary tract infection within 30 days after discharge.
Time frame: up to days post discharge
Post operative urinary sepsis
Patients who have urinary sepsis either prior to discharge or within 30 days after discharge.
Time frame: up to 30 days post discharge
Recurrence of colovesical fistula
Patients who had recurrence of their colovesical fistula within 30 days of discharge.
Time frame: up to 30 days post-discharge
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