Urinary Catheter Self-Discontinuation After Urogynecology Surgery

Launched by UNIVERSITY OF TEXAS AT AUSTIN · May 5, 2023

Keywords

ClinConnect Summary

This clinical trial is looking to find out if patients can safely remove their urinary catheters at home after certain types of surgeries related to pelvic issues, like pelvic organ prolapse and stress urinary incontinence. Currently, catheters are typically taken out in the doctor's office, but this study will compare that method to allowing patients to remove their own catheters at home. The goal is to see if self-removal is just as safe and effective.

To participate, women aged 18 and older who are fluent in English or Spanish and are having specific surgeries that involve a urinary catheter may be eligible. Participants will either remove their catheter at home or have it removed in the office. Those who have certain medical conditions that affect their ability to self-remove the catheter, or who need a catheter for a longer period due to other medical procedures, will not be included in the study. If you join, you can expect a straightforward process with guidance on how to safely manage your catheter removal, contributing to important research that may help many women in the future.

Gender

FEMALE

Eligibility criteria

• Inclusion Criteria:
• • 1. Are at least 18 years of age
• • 2. Are fluent and able to read in English or Spanish
• • 3. Undergo POP and/or SUI surgery (uterosacral ligament suspension, sacrospinous ligament fixation, sacral colpopexy, anterior colporrhaphy, posterior colporrhaphy, and/or mid-urethral sling) that occurs on Monday - Thursday
• • 4. Have transurethral catheter in place at the conclusion of surgery as part of standard care
• • 5. Are diagnosed with POUR on POD0 based on ultrasound bladder scan PVR of 100 mL or more
• • 6. Are discharged home on the same day of surgery (POD 0)
• Exclusion Criteria:
• • 1. Have preoperative voiding dysfunction requiring self-catheterization or indwelling transurethral catheter
• • 2. Have physical or mental impairment that would impact their ability to remove their catheter themselves.
• • 3. Undergo urethral bulking injections as part of surgery
• • 4. Have undergone a planned or unplanned urinary tract procedure requiring prolonged catheterization as standard of care (e.g. cystotomy repair, ureteral reimplantation, vesicovaginal fistula repair, urethral diverticulum repair)