Evaluation of safety and feasibility of ambulatory urogynaecological procedures in a 24-h setting.
OBJECTIVE
Our aim is to assess the safety and feasibility of ambulatory urogynaecological procedures in a 24-h day case surgery setting.


METHODS
We evaluated women who underwent urogynaecological procedures in the 2-year period from April 2006 to March 2008 in an ambulatory care setting. Proportion of patients being discharged within 24 h was noted. Re-admission rate, prolonged inpatient stay and post-operative complications were analysed.


RESULTS
Three hundred eighteen patients underwent urogynaecological procedures during the study period. Mean age was 58 +/- 13.8 (range: 19-92) and median parity was 3 (0-10). Forty-one (12.89%) women had hysterectomy previously and 99 (31.13%) were post-menopausal. There were no intra-operative complications except bladder injury in one patient. Of the patients, 272 (85.5%) were discharged in 24-h ambulatory protocol. Remaining 46 (14.4%) required inpatient admission.


CONCLUSIONS
A variety of urogynaecological procedures can be performed in a 24-h ambulatory care setting. Our study suggests that this practice is proven to be safe and feasible.
Arunkalaivanan
Angamuthu S
AS
Department of Urogynaecology, City Hospital, Dudley Road, Birmingham, B187QH, UK. anga.arunkalaivanan@swbh.nhs.uk
Sajja
Anuradha
A
Kubal
Uma
U
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000556:Ambulatory Surgical Procedures / Q000009:adverse effects / Q000706:statistics & numerical data; D005240:Feasibility Studies; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000706:statistics & numerical data; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D012449:Safety; D013997:Time Factors; D013520:Urologic Surgical Procedures / Q000009:adverse effects / Q000706:statistics & numerical data; D055815:Young Adult
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