RECRUITING

Self-discontinuation of Urinary Catheters in a Rural Population

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

The goal of this study is to understand patient satisfaction with two different ways of managing difficulty urinating after gynecologic surgery with a focus on those patients who receive care in a rural area. One common practice is to have an "office catheter removal." This means, if a patient has trouble urinating after surgery and goes home with a foley catheter, they usually have to come back to the clinic within 2-3 days to have the catheter removed and to do a test to see if they can urinate on their own. For some patients, coming back to the clinic so soon after surgery can be difficult, especially for those patients who live far away or are dependent on others for getting to appointments. A second, less common, practice is to have patients remove their own catheter at home, or "self-removal of urinary (Foley) catheter." With self-removal, patients remove their Foley catheter at home, and confirm that they are urinating normally. This approach has been shown to be safe, with similar patient satisfactions, and success, but those studies did not take into account situations where patients may live a rural area and/or travel a long distance to the medical center to receive care. This study is comparing the in-office removal with self-removal. The goal is to find out which option patients prefer, how convenient each approach is, and how well they work. The main goal of this study is to understand patient satisfaction and improve care after surgery.

Official Title

Self-discontinuation of Urinary Catheters in Patients With Urinary Retention Following Gynecologic Surgery in a Rural Population

Quick Facts

Study Start:2025-08-12
Study Completion:2026-11
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT07041151

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.

Ages Eligible for Study:18 Years
Sexes Eligible for Study:FEMALE
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. 1. Adults aged 18 years or older
  2. 2. Undergoing gynecologic surgery with planned postoperative trial of void to confirm normal voiding prior to discharge home
  3. 3. Willing and able to provide informed consent
  4. 4. English-speaking
  5. 5. Willing to comply with study procedures, including follow-up phone calls and surveys
  1. 1. Known urinary tract abnormalities (e.g., urethral strictures, neurogenic bladder) that may affect voiding.
  2. 2. Diagnosis of voiding dysfunction prior to surgery with need to self-catheterize.
  3. 3. Perioperative complication that necessitates indwelling catheter for a specific duration of time.
  4. 4. Joint surgeries that would affect ability to comply with study methods (e.g. that necessitates longer inpatient admission or reduces mobility beyond that normal for postop patients after gynecologic surgery)
  5. 5. Presence of significant cognitive or physical impairments that limit the ability to comply with study procedures.

Contacts and Locations

Study Contact

Ekaterina Grebenyuk, MD
CONTACT
603-653-9300
ekaterina.a.grebenyuk@hitchcock.org
Anne Cooper, MD, MS
CONTACT
603-653-9300

Principal Investigator

Ekaterina Grebenyuk, MD
PRINCIPAL_INVESTIGATOR
Dartmouth-Hitchcock Medical Center

Study Locations (Sites)

Dartmouth Hitchcock Medical Center
Lebanon, New Hampshire, 03766
United States
Dartmouth Manchester Ambulatory Surgery Center
Manchester, New Hampshire, 03104
United States

Collaborators and Investigators

Sponsor: Dartmouth-Hitchcock Medical Center

  • Ekaterina Grebenyuk, MD, PRINCIPAL_INVESTIGATOR, Dartmouth-Hitchcock Medical Center

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2025-08-12
Study Completion Date2026-11

Study Record Updates

Study Start Date2025-08-12
Study Completion Date2026-11

Terms related to this study

Keywords Provided by Researchers

  • Post-operative urinary retention
  • Self-removal of foley catheter
  • Self-discontinuation of foley catheter
  • Post-operative void trial
  • Urogynecology
  • Pelvic surgery
  • Catheter management

Additional Relevant MeSH Terms

  • Post-Operative Urinary Retention