A randomized, controlled trial evaluating 2 techniques of postoperative bladder testing after transvaginal surgery.
OBJECTIVE
The purpose of this pilot study was to compare the efficacy of 2 techniques for evaluating bladder function after transvaginal surgery.


METHODS
Subjects scheduled for transvaginal, outpatient surgery were consecutively enrolled and randomized to backfill-assisted voiding trial or a trial of spontaneous voiding after surgery.


RESULTS
Sixty subjects were enrolled. The mean time in the perioperative anesthesia care unit for the backfill group was 199.5 minutes vs 226.6 minutes in the spontaneous voiding group (P = .08). Subjects randomized to backfill were more likely to adequately empty their bladders and be discharged home without catheter drainage than subjects in the spontaneous voiding group (61.5% vs 32.1%, respectively, P = .02). Multiple logistic regression further demonstrated that the backfill-assisted technique predicted successful bladder emptying after vaginal surgery (P = .02).


CONCLUSIONS
Women undergoing transvaginal outpatient surgery are more likely to empty their bladder effectively before discharge if they are evaluated with a backfill-assisted voiding trial.
Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, NC, USA.
Raymond T
RT
Foster
Kristy M
KM
Borawski
Mary M
MM
South
Alison C
AC
Weidner
George D
GD
Webster
Cindy L
CL
Amundsen
D003950:Diagnostic Techniques, Urological; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged; D010865:Pilot Projects; D016896:Treatment Outcome; D014555:Urination Disorders / Q000175:diagnosis* / Q000209:etiology