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Due to cancellation of elective surgery (Covid-19)
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Retrograde filled | Experimental | This arm will contain patients who had retrograde bladder filling upon completion of surgery with 200 milliliters (mL) of sterile saline. |
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| Control | No Intervention | This arm will contain patients who simply had the urinary catheter removed upon completion of surgery, and were left with an empty bladder. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Retrograde bladder filling | Procedure | The bladder will be filled with a large syringe through the urinary catheter (which is left in place for the surgery) with 200mL of sterile saline, and then the catheter will be removed. |
| Measure | Description | Time Frame |
|---|---|---|
| Time to first void | Time in minutes from arrival in post-operative anesthesia unit (PACU) to first void | 3 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Time to discharge | Time in minutes from arrival in PACU to discharge from PACU | 8 hours |
| Post-operative complications | Urinary tract infections, or other reported complications |
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Inclusion Criteria:
Exclusion Criteria:
patients undergoing gynecological surgery
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| Name | Affiliation | Role |
|---|---|---|
| Ally Murji, MD | Women's College Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Women's College Hospital | Toronto | Ontario | M5S 1B2 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30639089 | Background | Moawad G, Tyan P, Marfori C, Abi Khalil E, Park D. Effect of postoperative partial bladder filling after minimally invasive hysterectomy on postanesthesia care unit discharge and cost: a single-blinded, randomized controlled trial. Am J Obstet Gynecol. 2019 Apr;220(4):367.e1-367.e7. doi: 10.1016/j.ajog.2018.12.034. Epub 2019 Jan 9. | |
| 33017685 |
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| ID | Term |
|---|---|
| D016055 | Urinary Retention |
| D011183 | Postoperative Complications |
| ID | Term |
|---|---|
| D014555 | Urination Disorders |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| 1 week following surgery |
| Patient satisfaction | Patients' subjective experience in both groups regarding time spent in PACU and first postoperative week | 1 week |
| Post-operative pain | visual analogue scale of postoperative pain, assessed in PACU | Assessed at the 1 hour mark |
| Zakhari A, Paek W, Chan W, Edwards D, Matelski J, Solnik MJ, Murji A. Retrograde Bladder Filling after Laparoscopic Gynecologic Surgery: A Double-blind Randomized Controlled Trial. J Minim Invasive Gynecol. 2021 May;28(5):1006-1012.e1. doi: 10.1016/j.jmig.2020.09.019. Epub 2020 Oct 3. |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |