Urinary drainage following continence surgery: development of Canadian best practice guidelines.
BACKGROUND
Researchers evaluated the impact of a new algorithm for postoperative catheter removal with women who underwent surgery for stress incontinence.


OBJECTIVE
This study aimed to improve the postoperative process by developing practice guidelines for urinary drainage after surgery for urinary stress incontinence in a female population.


METHODS
The quality improvement study collected 2 years of retrospective data and 1 year of prospective data on all women who had surgery for stress incontinence. This involved a variety of surgical procedures that were performed by a small number of surgeons.


RESULTS
Burch colposuspension was the predominant procedure, and on the prospective piece of the study, with the new guidelines, time to first postoperative void decreased.


CONCLUSIONS
Fewer interventions and decreased length of stay indicated that the guidelines are evidence of improved practice.
St Boniface General Hospital, Winnipeg, Canada.
Barbara
B
Lewthwaite
Lise
L
Girouard
D000328:Adult; D000368:Aged; D000465:Algorithms; D019985:Benchmarking / Q000458:organization & administration*; D002170:Canada; D003663:Decision Trees; D004322:Drainage / Q000379:methods / Q000451:nursing / Q000592:standards*; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008875:Middle Aged; D009730:Nursing Assessment / Q000379:methods / Q000592:standards; D015403:Nursing Evaluation Research; D011182:Postoperative Care / Q000379:methods / Q000451:nursing / Q000592:standards*; D017410:Practice Guidelines as Topic / Q000592:standards*; D011446:Prospective Studies; D012189:Retrospective Studies; D013997:Time Factors; D017749:Total Quality Management; D014546:Urinary Catheterization / Q000379:methods / Q000451:nursing / Q000592:standards*; D014550:Urinary Incontinence, Stress / Q000451:nursing / Q000503:physiopathology / Q000601:surgery*; D014563:Urodynamics