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Patients who are undergoing non-urogynecologic, minimally invasive (laparoscopic, robotic) hysterectomy who are discharged the day of surgery will be randomized to a strict need to void versus no need to void prior to discharge.
To determine if a strict versus liberal voiding trial following the aforementioned surgery in same day discharge patients increases rates of post-operative urinary retention, urinary tract infection (UTI), or re-presentation and if there is a difference in Post-Anesthesia Care Unit (PACU) time and costs.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| No strict need to void following surgery before discharge | Experimental | Participants randomized to this arm will have no strict need to void following surgery before they are discharged. |
|
| Strict need to void following surgery before discharge | Placebo Comparator | Participants randomized to this arm will have a strict need to void following surgery before they are discharged. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| No Strict need to void following surgery | Behavioral | Certain patient will be randomized without a strict need to void prior to discharge following surgery. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Amount of time spent in PACU | This will assess the amount of time spent (in hours) in PACU. | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Rates of urinary retention | Will measure rates of urinary retention. | 2 years |
| Rates of UTI | Will measure rates of UTI. | 2 years |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Kristin Patzkowsky | Johns Hopkins University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Johns Hopkins Hospital | Baltimore | Maryland | 21287 | United States |
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| ID | Term |
|---|---|
| D016055 | Urinary Retention |
| ID | Term |
|---|---|
| D014555 | Urination Disorders |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| Strict need to void following surgery | Behavioral | Certain patient will be randomized with a strict need to void prior to discharge following surgery. |
|
| Rates of re-presentation to the ER | Will measure rates of re-presentation to ER. | 2 years |
| Cost of stay in PACU | This will assess the cost pertaining to the time spent in the PACU to determine if the time spent has a significant impact on the cost. | 2 years |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |