Urinary Catheter Self-Discontinuation After Urogynecology Surgery

Description

The goal of this randomized clinical trial is to determine if removal of transurethral urinary catheters by patients at home is as safe as catheter removal in the office following urogynecologic surgery. Participants will be randomized to either standard catheter removal in the office or catheter self-removal at home.

Conditions

Urinary Retention, Pelvic Organ Prolapse, Stress Urinary Incontinence, Catheter Related Complication

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Study Overview

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Study Details

Study overview

The goal of this randomized clinical trial is to determine if removal of transurethral urinary catheters by patients at home is as safe as catheter removal in the office following urogynecologic surgery. Participants will be randomized to either standard catheter removal in the office or catheter self-removal at home.

Urinary Catheter Self-Discontinuation After Urogynecology Surgery

Urinary Catheter Self-Discontinuation After Urogynecology Surgery

Condition
Urinary Retention
Intervention / Treatment

-

Contacts and Locations

Austin

University of Texas of Austin - Dell Seton Medical Center, Austin, Texas, United States, 78701

Austin

Seton Medical Center Austin, Austin, Texas, United States, 78705

Kyle

Ascension Seton Hays Hospital, Kyle, Texas, United States, 78640

Round Rock

Seton Medical Center Williamson, Round Rock, Texas, United States, 78665

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility 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)
  • 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)

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

FEMALE

Accepts Healthy Volunteers

Yes

Collaborators and Investigators

University of Texas at Austin,

Mary M Rieger, MD, PRINCIPAL_INVESTIGATOR, University of Texas at Austin

Collin M McKenzie, MD, PRINCIPAL_INVESTIGATOR, University of Texas at Austin

Study Record Dates

2024-10