E-Posters-10021

10021_Boyd
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.
Keywords
catheter management
voiding trial
pelvic reconstructive surgery
web-based questionnaire
Ob/Gyn
urology
female pelvic medicine
FPMRS
post-void residual
bladder scanning devices