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

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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 …

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