Assessing Health Care Utilization and Feasibility of Transurethral Catheter Self-Discontinuation

Davenport, Abigail; Li, Yang; Melvin, Emily C.; Arcaz, Arthur; Lefbom, Lucie; Iglesia, Cheryl B.; Dieter, Alexis A.

doi:10.1097/aog.0000000000005105

Cited by 3 publications

(7 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The Askew et al, Shatkin-Margolis et al, and Davenport et al studies support that the rate of void trial failure after at-home catheter self-discontinuation is low, even at varying timepoints from surgery (14% failure rate on postoperative day 7, 4 18% failure rate on postoperative day 1, 7 and, 15% on postoperative days 3-4 3 ). This finding helps to support a more flexible, patient-directed approach to determining optimal timing of catheter removal without taking on significant risk.…”

Section: Financial Disclosurementioning

confidence: 93%

“…5 Earlier catheter removal reduces UTI risk and patient burden, but these benefits are countered by the concern that earlier removal may carry a higher risk of retention because the bladder has had less recovery time. 5,6 A subsequent study by Davenport and colleagues 7 explored the feasibility of catheter self-discontinuation at home on postoperative day 1 after urogynecologic or minimally invasive gynecologic surgery. This trial demonstrated that at home self-discontinuation on postoperative day 1 resulted in low rates of subsequent retention, with no adverse events seen in this study population.…”

Section: Financial Disclosurementioning

confidence: 99%

See 1 more Smart Citation

Support for At-Home Removal of Transurethral Catheters Placed for Acute Postoperative Voiding Dysfunction

Dieter

2024

Obstetrics &Amp; Gynecology

Self Cite

View full text Add to dashboard Cite

Section: Financial Disclosurementioning

confidence: 93%

Section: Financial Disclosurementioning

confidence: 99%

Support for At-Home Removal of Transurethral Catheters Placed for Acute Postoperative Voiding Dysfunction

Dieter

2024

Obstetrics &Amp; Gynecology

Self Cite

View full text Add to dashboard Cite

“…This was a retrospective cohort study comparing data from the Assessing Healthcare Utilization and Feasibility of Transurethral Catheter Self-discontinuation (FLOTUS) trial with data from a historical cohort obtained via retrospective chart review. 4 Adult women who underwent outpatient urogynecologic surgery and had POUR necessitating discharge with an indwelling urinary catheter with subsequent catheter discontinuation on POD1 were included in this analysis. Women were excluded from the study if their procedure required prolonged catheterization (ie, urethral diverticulectomy, fistula repair, etc) or if there was an intraoperative complication necessitating catheterization such as a cystotomy.…”

Section: Methodsmentioning

confidence: 99%

“…Briefly, FLOTUS was a prospective cohort study performed at our institution examining health care utilization and surgical complications in 50 patients who failed the immediate postoperative VT on the day of advanced gynecologic and urogynecologic surgery between August 2021 and January 2022. 4 Details of our institutional procedures for performing VTs appear as follows. Participants subsequently performed at-home CSD followed by an autofill VT on POD 1.…”

Section: Methodsmentioning

confidence: 99%

A Retrospective Cohort Study of At-Home Catheter Removal After Urogynecologic Surgery

Davenport,

Li,

Lefbom

et al. 2024

UROGC

Self Cite

View full text Add to dashboard Cite

Importance In-office postoperative voiding trials (VTs) increase health care burden for patients and physicians. Adoption of an at-home VT option may decrease burden without increasing adverse events postoperatively. Objective The purpose of this study was to compare 30-day postoperative outcomes between participants who performed an at-home autofill VT after catheter self-discontinuation during the Assessing Healthcare Utilization and Feasibility of Transurethral Catheter Self-discontinuation (FLOTUS) study and a “historic” control cohort of patients who presented to the office for backfill-assisted VT on postoperative day (POD) 1. Study Design This was a retrospective cohort study of women with postoperative urinary retention after urogynecologic surgery between June 2020 and March 2022. Outcomes from the FLOTUS study were compared with a “historic” control cohort of patients that were identified on chart review from the year before FLOTUS initiation. Demographic, medical history, and procedure-related data were collected. Thirty-day outcome data included office calls/messages, office visits, emergency department visits, complications, and catheterization outcomes. Results Forty-six participants were included in the FLOTUS cohort and 65 participants in the historic cohort. There was no difference in the POD1 VT pass rate, number of office calls/messages, emergency department visits, or postoperative complications between the 2 cohorts. The FLOTUS patients attended 1 less office visit (1 vs 2 office visits, P<0.001), and this difference persisted on regression analysis (−0.87 office visits; 95% CI, −1.18 to −0.56, P<0.001). Conclusion Patients who had backfill-assisted VTs on POD1 attended 1 additional office visit compared with those who removed their catheters at home.

show abstract

“…An author's name is misspelled in the byline in the article by Davenport et al 1 in the April 2023 issue. “Emily Melvin” is incorrect.…”

mentioning

confidence: 99%