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Journal of Pelvic Medicine & Surgery:
Original Article

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†

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Abstract

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.

© 2004 Lippincott Williams & Wilkins, Inc.

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