To determine the optimal moment to start bladder training after vaginal prolapse surgery with anterior colporrhaphy.
ID
Source
Brief title
Condition
- Bladder and bladder neck disorders (excl calculi)
- Uterine, pelvic and broad ligament disorders
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The primary outcome is the average duration of catheterisation, in
postoperative days.
Secondary outcome
The secondary outcomes are percentage of patients in whom the catheter can be
removed after two days of succesful bladder training. The percentage of urinary
tract infections, average duration of hospitalisation, percentage of ubretid
use, residue volumes.
Background summary
In the Netherlands it is usual to prevent retention of the bladder with
catheterisation after vaginal prolapse surgery with anterior colporrhaphy. The
optimal duration of catheterisation however is unclear. The chance for uninary
tract infection increases with a longer catheterisation. The chances for
bladder distention and retention of urine increases with a shorter
catheterisation. A randomized controlled trial already showed that earlier
bladder training resluted in a shorter duration of catheterisation and less
urinary tract infections. On the other hand a larger percentage of patients
required recatheterisation. In our hospital bladder training is started three
days after surgery. We hypothesize that starting the training at the first
postoperative day will lead to a shorter duration of catherisation and less
urinary tract infections. Another advantage of the suprapubic catheter that is
used, is that recatheterisation is not necessary if the training failes.
Study objective
To determine the optimal moment to start bladder training after vaginal
prolapse surgery with anterior colporrhaphy.
Study design
A randomized controlled trial, with randomisation between starting bladder
training one or three days postoperative.
Intervention
The control group will start bladder training at the third day postoperative.
The intervention group will start bladder training at the first postoperative
day.
Study burden and risks
Because the patients in the intervention group start their bladder training
earlier, the have a greater chance of unsuccesful training after two days.
However for the training the catheter can stay in place, so they won't need
recatheterisation an can resume the training at home. As soon as the training
is succesful they return to the hospital to have the catheter removed.
Dokter van Heesweg 2
8025 AB Zwolle
Nederland
Dokter van Heesweg 2
8025 AB Zwolle
Nederland
Listed location countries
Age
Inclusion criteria
Women that will have prolapse surgery including anterior colporrhaphy.
Exclusion criteria
Not being able to understand the patient information
Not being able to give informed consent
Urinary tract infection on the day of surgery
Needing catherisation before surgery
Contra-indications for suprapubic catherisation
Design
Recruitment
Medical products/devices used
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL18635.075.07 |