E-Posters-10021

Pdf Summary

This study aimed to evaluate practice preferences in catheter management following a failed voiding trial after pelvic reconstructive surgery. A web-based questionnaire was sent to physicians practicing in obstetrics and gynecology (Ob/Gyn), urology, and female pelvic medicine and reconstructive surgery (FPMRS) residencies and fellowships in the United States. The survey asked about voiding trial protocols, definitions of abnormal post-void residual (PVR), catheterization methods, and antibiotic use. <br /><br />A total of 105 respondents completed the survey, with the majority practicing in FPMRS (45.9%), followed by Ob/Gyn (36.5%) and urology (17.6%). The most frequently used catheterization method was clean-intermittent straight catheterization (CISC), with significant differences observed between specialties (p=0.026) and comparing Ob/Gyn and FPMRS respondents (p=0.045). PVR was most commonly measured using bladder scanning devices (77.7%) compared to straight catheterization (22.3%), and this distribution was similar across all specialties (p=0.092). <br /><br />Antibiotics were routinely administered during catheterization by 17.1% of respondents, with the majority basing treatment on urine culture alone. Catheters were most frequently discontinued by postoperative day one (93.4-98%) after all procedures. <br /><br />The study concluded that there is high practice variability in catheter management after pelvic reconstructive and incontinence surgery. The distribution of catheterization type varies significantly, with CISC being the most prevalent. Establishing best practice will require further studies evaluating the association with clinical outcomes. <br /><br />The study highlights the need for standardization and further research in catheter management methods for acute postoperative voiding dysfunction. The use of CISC was most common, but evidence supporting the optimal method is limited. Future studies comparing catheterization methods based on clinical outcomes are necessary to establish best practices.

Meta Tag

Concept Postoperative Urinary Retention

Concept Voiding Dysfunction

Concept Pelvic Reconstructive Surgery

Concept Urinary Catheterization

Concept Protocol Variability

Keywords

catheter management

voiding trial

pelvic reconstructive surgery

web-based questionnaire

Ob/Gyn

urology

female pelvic medicine

FPMRS

post-void residual

bladder scanning devices

Postoperative Urinary Retention

Voiding Dysfunction

Pelvic Reconstructive Surgery

Urinary Catheterization

Protocol Variability