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Timing of Postoperative Voiding Trial After Anti-incontinence Procedures

Novi, Joseph M. DO*; Mulvihill, Beth H.K. DO¶; Oloufa, Shereen MD‡; Brannigan, John MD§; Bradley, Catherine MD†

Journal of Pelvic Medicine & Surgery: January/February 2004 - Volume 10 - Issue 1 - pp 37-38
Original Article

Objectives: The goal of this retrospective study is to determine whether prolonged bladder drainage via Foley catheter in patients following anti-incontinence procedures decreases the incidence of postoperative urinary retention. The end point is passing or failing a voiding trial on postoperative day 1, 2, or 3.

Methods: The voiding trial consisted of removing the Foley catheter, allowing the patient to void spontaneously, and obtaining a postvoid residual (PVR) urine measurement via straight catheterization of the bladder. The patient was considered to have passed the voiding trial if she could spontaneously void within 4 hours of Foley removal and had a PVR < 100 mL.

Results: There was no difference noted in success rate of the voiding trial when performed on postoperative day 1, 2, or 3.

Conclusion: In women with no contraindication to early removal of a Foley catheter following anti-incontinence procedures, this practice may reduce the overall healthcare costs associated with these interventions by decreasing hospital stay and the incidence of postoperative lower urinary tract infection.

The early removal of an indwelling catheter following anti-incontinence surgery does not increase the risk of postoperative urinary retention.

From the *Department of Urogynecology and Reconstructive Pelvic Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania; the †Department of Obstetrics & Gynecology, University of Iowa Health System, Iowa City, Iowa; ‡Private Practice, Orlando, Florida; §Private Practice, Los Banos, California; and the ¶Department of Obstetrics and Gynecology, Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania.

Received for publication August 1, 2003; accepted February 3, 2004.

Joseph M. Novi, DO, Department of Urogynecology and Reconstructive Pelvic Surgery, Hospital of the University of Pennsylvania, 5 Penn Tower, 3400 Spruce Street, Philadelphia, PA 19081. E-mail: jnovi@obgyn.upenn.edu.

© 2004 Lippincott Williams & Wilkins, Inc.