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Backfill assisted voiding was better than spontaneous voiding for successful bladder emptying after vaginal surgery

R T Foster

Dr R T Foster, Duke University Medical Center, Durham, NC, USA; raymond.foster@duke.edu

QUESTION
Is backfill assisted voiding better than spontaneous voiding for evaluating bladder functioning after outpatient transvaginal surgery?

METHODS
Design: randomised, controlled, pilot trial.

Allocation: unclear.

Blinding: unblinded.

Follow-up period: up to 6 weeks after surgery.

Setting: urogynaecology or female urology outpatient clinic in the USA.

Patients: 60 women who were 18–80 years of age and had outpatient vaginal surgery. Exclusion criteria were pregnancy and incarceration.

Intervention: 30 patients were allocated to backfill assisted voiding and taken to the postoperative anaesthesia care unit (PACU) with an indwelling catheter. After anaesthesia recovery, the bladder was filled retrograde with room-temperature, sterile normal saline until the patient had a strong urge to void or the instilled volume was 300 ml. The catheter was then removed, and the patient was allowed to void. 30 patients allocated to spontaneous voiding were taken to . . . [Full text of this article]

Patricia Kelly Rosier

Berkshire Medical Center, Pittsfield, Massachusetts, USA