Post-Operative Voiding After Gynecological Surgery Trial

Post-Operative Voiding After Gynecological Surgery (POVAGS) Trial: a Randomized Controlled Trial on Retrograde Bladder Filling After Outpatient Gynaecological Laparoscopy

To determine whether partially filling the bladder after outpatient gynaecological laparoscopy expedites time to first void and discharge. Methods: A single site, single-blinded, randomized control trial in which eligible patients undergo partial retrograde bladder filling immediately post-operatively compared to bladder drainage and foley catheter removal. Primary outcome is time to first void, secondary outcomes include time to discharge, post-operative complications and patient satisfaction.

Inclusion Criteria:

• Women
• Undergoing elective laparoscopy for a gynaecological indication
• Plan for same day discharge
• Able to provide informed consent

Exclusion Criteria:

• Pregnancy
• Undergoing procedure for pelvic organ prolapse, stress urinary incontinence, or nerve detrapment
• Prior hysterectomy, or incontinence/pelvic organ prolapse procedures
• Pre-existing voiding dysfunction
• Known recurrent urinary tract infections
• Known genito-urinary malformations
• Known for neuromuscular disorders such as multiple sclerosis
• Use of anticholinergic medication
• Intraoperative bladder related complications
• Need for discharge with indwelling foley catheter
• Patients requiring overnight admission for any reason