118 Participants Needed

Self-Removal of Catheters After Urogynecologic Surgery

(CATH Trial)

Recruiting at 3 trial locations
MM
Overseen ByMary M Rieger, MD
Age: 18+
Sex: Female
Trial Phase: Academic
Sponsor: University of Texas at Austin
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

The goal of this randomized clinical trial is to determine if removal of transurethral urinary catheters by patients at home is as safe as catheter removal in the office following urogynecologic surgery.Participants will be randomized to either standard catheter removal in the office or catheter self-removal at home.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

Is it safe for patients to remove their own urinary catheters at home after urogynecologic surgery?

Research suggests that self-removal of urinary catheters at home after surgery is generally safe, with no significant increase in complications compared to removal in a medical office. However, proper education on the procedure is important to minimize risks.12345

How does the self-removal of catheters after urogynecologic surgery differ from other treatments?

This treatment is unique because it allows patients to remove their own urinary catheters at home after surgery, rather than requiring a visit to the doctor's office. This approach can reduce the need for additional medical appointments and may help patients feel more comfortable and in control of their recovery process.16789

What data supports the effectiveness of the treatment for self-removal of catheters after urogynecologic surgery?

Research suggests that self-removal of a urinary catheter at home is as effective as having it removed in a medical office for patients who need a catheter after pelvic surgery. This approach can also reduce hospital stays and the risk of infections, making recovery more comfortable for patients.136710

Who Is on the Research Team?

MM

Mary M Rieger, MD

Principal Investigator

University of Texas at Austin

CM

Collin M McKenzie, MD

Principal Investigator

University of Texas at Austin

Are You a Good Fit for This Trial?

This trial is for adults fluent in English or Spanish who have had urogynecologic surgery, need a catheter afterwards, and are sent home the same day. It's not for those with preoperative voiding issues requiring self-catheterization, mental or physical impairments affecting catheter removal ability, or additional urinary tract procedures needing longer catheter use.

Inclusion Criteria

I was diagnosed with urinary retention right after surgery.
I will have a catheter placed through the urethra after surgery as usual care.
I went home the same day I had surgery.
See 1 more

Exclusion Criteria

I cannot remove my catheter by myself due to a physical or mental condition.
I've had a urinary tract surgery that required a long-term catheter.
I use a catheter for urination due to bladder issues.
See 1 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants undergo catheter removal either in the office or self-removal at home on post-operative day 1

1 day
1 visit (in-person) for office group

Follow-up

Participants are monitored for postoperative urinary retention, urinary tract infections, and patient satisfaction

6 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Catheter self-discontinuation
Trial Overview The study tests if patients can safely remove their urinary catheters at home after urogynecology surgery compared to standard removal in the office. Participants will be randomly assigned to either self-removal at home or office removal.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Catheter self-discontinuation groupExperimental Treatment1 Intervention
Group II: Catheter office-discontinuation groupActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Texas at Austin

Lead Sponsor

Trials
387
Recruited
86,100+

Published Research Related to This Trial

Self-discontinuation of a transurethral catheter after pelvic reconstructive surgery was found to be noninferior to office discontinuation, with similar rates of postoperative urinary retention (14.1% vs 13.9%).
Patients who self-discontinued reported fewer encounters with healthcare providers and had better experiences regarding pain and ease of the process, suggesting that self-discontinuation may enhance patient satisfaction.
Self-Removal of a Urinary Catheter After Urogynecologic Surgery: A Randomized Controlled Trial.Shatkin-Margolis, A., Yook, E., Hill, AM., et al.[2022]
In a study of 27 patients who used a transurethral Foley catheter at home after vaginal prolapse surgery, 79% successfully restored normal bladder function after catheter removal, indicating its efficacy as a treatment option.
However, 37% of patients found the catheterization experience unpleasant, highlighting a potential drawback of this method despite its effectiveness.
Prolonged catheterization after vaginal prolapse surgery.Vierhout, ME.[2004]
A rare complication after radical retropubic prostatectomy is the inability to remove a urethral catheter due to inadvertent stitching or entrapped sutures.
The study presents a novel method using a pediatric optical urethrotome for endoscopic removal of a Foley catheter encircled by sutures, providing a potential solution for this challenging issue.
Case report: a novel and easy technique to remove stitched urethral foley catheter after radical retropubic prostatectomy.Ersoy, H., Sagnak, L., Ozok, U., et al.[2016]

Citations

Self-Removal of a Urinary Catheter After Urogynecologic Surgery: A Randomized Controlled Trial. [2022]
Prolonged catheterization after vaginal prolapse surgery. [2004]
Case report: a novel and easy technique to remove stitched urethral foley catheter after radical retropubic prostatectomy. [2016]
[Early catheter removal in water-tight bladder closure following transversical prostatic adenometomy]. [2006]
Morbidity and the impact on daily activities associated with catheter drainage after acute urinary retention. [2019]
[Transurethral bladder catheterization in male patients: prevention and treatment of iatrogenic lesions]. [2013]
Transvaginal bladder-neck closure: a step-by-step video for female pelvic surgeons. [2020]
Assessing Health Care Utilization and Feasibility of Transurethral Catheter Self-Discontinuation. [2023]
Parental home removal of urethral catheters after urological surgery-a prospective benchmarking study. [2020]
10.United Statespubmed.ncbi.nlm.nih.gov
Laser division of encircling sutures to remove retained urethral catheter after radical retropubic prostatectomy. [2016]
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