Catheter Removal Methods for Urinary Retention
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to determine which method of removing urinary catheters after gynecologic surgery is more convenient and satisfying for patients. It compares catheter removal at home with removal at the doctor's office. The trial focuses on patients in rural areas who have difficulty returning to the clinic soon after surgery. Individuals who recently underwent gynecologic surgery and anticipate difficulty urinating independently might be suitable candidates. The study seeks to identify which method patients prefer and which is most effective for them. As an unphased trial, it offers patients the opportunity to contribute to enhancing post-surgical care for others in similar situations.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the study team or your doctor.
What prior data suggests that these catheter removal methods are safe?
Research has shown that removing a Foley catheter at home is safe and effective. In one study, patients who removed their catheters themselves found the process easy and safe, reporting few problems. Another study confirmed these findings, showing that patients preferred doing it themselves and were satisfied with the experience.
However, some risks exist. If the catheter is pulled out accidentally or without care, it might cause harm. With clear instructions, though, most people can safely perform the removal at home.
The standard method involves removal at a clinic, which is also safe but may be less convenient for those living far away. Both methods are generally well-tolerated, with the main difference being the location of the removal.12345Why are researchers excited about this trial?
Researchers are excited about this trial because it explores innovative methods for removing Foley catheters in patients with urinary retention. The trial compares at-home self-removal with a passive void trial to the traditional in-office backfill void trial. The at-home approach offers the convenience of managing catheter removal in the comfort of one's home, potentially reducing the need for clinic visits. Additionally, it empowers patients to actively participate in their postoperative care, which could lead to better patient satisfaction and outcomes. This trial aims to determine if these new methods are as safe and effective as the standard in-office procedure, possibly transforming how we manage urinary retention after surgery.
What evidence suggests that this trial's treatments could be effective for managing urinary retention after gynecologic surgery?
Research has shown that removing a Foley catheter at home, which participants in this trial may do, is safe and often successful. Studies found that about 84% of individuals who removed their catheters at home could urinate without problems. In this trial, another group of participants will have their catheters removed in a clinic setting, where about 73% were able to urinate without issues. Reports indicate that people are equally satisfied whether they remove the catheter themselves or have it done by a healthcare professional. This suggests that home removal can be just as effective and offers a convenient option for those living far from medical centers.678910
Who Is on the Research Team?
Ekaterina Grebenyuk, MD
Principal Investigator
Dartmouth-Hitchcock Medical Center
Are You a Good Fit for This Trial?
This trial is for patients who have difficulty urinating after gynecologic surgery and live in rural areas. They must be able to come back to the clinic or be willing to remove their catheter at home.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants undergo either at-home passive void trial or in-office backfill void trial 48-72 hours postoperatively
Follow-up
Participants are monitored for patient satisfaction, urinary tract infections, and healthcare resource utilization
What Are the Treatments Tested in This Trial?
Interventions
- At-home Foley Catheter Self-Removal with Passive Void Trial
- In-Office Foley Catheter Removal and Backfill Void Trial
Trial Overview
The study compares two methods of managing urinary retention: self-removal of a Foley catheter at home versus traditional in-office removal by medical staff, focusing on patient satisfaction and convenience.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
Participants will be instructed to remove their foley catheter at home 48-72 hours postoperatively. After removal, they will perform a passive void trial and will be monitored for successful voiding within a designated time frame. Instructions will be provided, and participants will be advised to contact the clinic if unable to void.
Participants will return to the clinic 48-72 hours postoperatively for standard foley catheter removal and a backfill void trial. The bladder will be filled with 300 mL of sterile water, and voiding will be assessed in clinic per institutional protocol.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Dartmouth-Hitchcock Medical Center
Lead Sponsor
Citations
Self-discontinuation of Urinary Catheters in a Rural ...
Participants will be instructed to remove their foley catheter at home 48-72 hours postoperatively. After removal, they will perform a passive void trial and ...
Effect of Active vs. Passive Voiding Trials on Time to ...
This study seeks to determine the effect of active vs passive voiding trials on time to hospital discharge, rate of urinary tract infections, and rate or ...
ASSESSMENT OF PATIENT SATISFACTION WITH HOME ...
Voiding trial pass rate was similar between women who underwent home (83.8%) versus office (72.5%) catheter removal (p=0.23). No participants ...
A Retrospective Cohort Study of At-Home Catheter ...
The purpose of this study was to compare 30-day postoperative outcomes between participants who performed an at-home autofill VT after catheter self- ...
a cost analysis of second postoperative void trials
While a second attempt does improve pass rates and decreases the need for outpatient management of urinary retention, it also extends time in the PACU and ...
Prevention of Inappropriate Self-Extraction of Foley Catheters
Traumatic, unintended Foley catheter extractions, whether patient-initiated or accidental, can cause permanent urologic complications, affect hospital length of ...
Self-Urinary Catheter Removal for Urology Day Cases
This study demonstrates that self-TWOC, supported by a virtual ward, is safe, feasible, and well-accepted by patients undergoing day-case ...
Assessment of patient satisfaction with home vs office ...
This study aimed to assess patient satisfaction with location of indwelling catheter removal placed for urinary retention after urogynecologic surgery.
Home vs. Office Foley Catheter Removal in Women With ...
The purpose of this study is to evaluate the patient satisfaction with voiding assessment remotely after removal of Foley catheter at home by the patient or ...
Urinary Retention Evaluation and Catheterization ...
A UR evaluation and catheterization algorithm was developed to improve patient safety by increasing appropriate use of bladder scanners and catheterization.
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