Bladder infusion versus standard catheter removal for trial of void: a systematic review and meta-analysis

Makary, Joshua; Phan, Kevin; McClintock, George; Doctor, Marinelle; Habashy, David; Heywood, Sean; McCombie, Steve P; Arianayagam, Mohan; Canagasingham, Bertram; Ferguson, Richard; Goolam, Ahmed; Khadra, Mohamed; Ko, Raymond; Varol, Celi; Winter, Matthew; Roberts, Matthew J.

doi:10.1007/s00345-020-03408-4

Cited by 10 publications

(8 citation statements)

References 23 publications

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“…A recent systematic review by Makary et al showed that bladder backfilling improved TOV success overall and subsequently reduced the time to discharge in postoperative patients and those with acute urinary retention compared to the standard method of catheter removal [17]. However, that review included a patient population with a wide variety of causes of retention (different sexes and etiologies of retention), and such comparisons with multiple etiologies have multiple limitations.…”

Section: Discussionmentioning

confidence: 99%

Bladder Backfilling versus Standard Catheter Removal for Trial of Void after Outpatient Laparoscopic Gynecologic Surgery: A Systematic Review and Meta-Analysis

Dong

Pan

Wang

et al. 2022

Journal of Minimally Invasive Gynecology

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Section: Discussionmentioning

confidence: 99%

Bladder Backfilling versus Standard Catheter Removal for Trial of Void after Outpatient Laparoscopic Gynecologic Surgery: A Systematic Review and Meta-Analysis

Dong

Pan

Wang

et al. 2022

Journal of Minimally Invasive Gynecology

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“…Our clinical protocol for assessing POUR may have identi ed patients for catheterization who would have voided spontaneously if given more time. In addition, "passive" void trials (i.e., allowing the bladder to ll with urine production) with immediate postoperative catheter removal may have led to bladder overdistention and inhibited voiding when the inhibitory effects on detrusor function from anesthesia were maximal (16,17,18) .…”

Section: Discussionmentioning

confidence: 99%

Factors associated with postoperative urinary retention in patients undergoing penile prosthesis implantation

Drevik

Dalimov²,

Lucas³

et al. 2022

Int J Impot Res

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Introduction: Many implanters have transitioned penile implantation procedures from 23-hour observation (OBS) stays to same-day discharge surgeries (SDS). Postoperative urinary retention (POUR) represents a potential barrier to successful SDS among in atable penile prosthesis (IPP) recipients; however, its incidence and resolution have not been well characterized. We rigorously characterized POUR in a cohort of IPP recipients along with risk factors and management.Materials and Methods: Patients undergoing IPP from 2014 through 2020 without pre-existing retention were included. All patients underwent void trial immediately following IPP in PACU. POUR was strictly de ned as: 1) any patient requiring catheter replacement after IPP, 2) a rising post-void residual (PVR), or 3) inability to void after 6 hours regardless of whether a catheter was placed. Independent demographic, intraoperative, and postoperative risk factors for POUR were assessed using multivariable logistic regression.Results: 317 men were included of whom 27.1% experienced POUR. Rates of POUR in patients under OBS or SDS were not signi cantly different (29.2% vs. 18.0%, p=0.11). Men experiencing POUR and those not in retention were essentially indistinguishable with respect to risk factors for POUR. Only maximal medical therapy for BPH was signi cantly associated with a greater risk of POUR, a nding maintained on adjusted analysis (aOR 10.1, 95% CI 2.1 to 49.8). POUR resolved without intervention in 3.5%, a single episode of CIC in 7.0% of patients, and repeated CIC or indwelling catheter placement with a successful delayed void trial in 88.4% of patients. Rate of IPP infection in patients who experienced POUR vs. N-POUR did not differ (4.7% vs. 2.2% p=0.26).Conclusion: POUR is experienced in as many as 1 in 4 men undergoing IPP placement, most of whom must be managed with indwelling catheterization or repeated CIC. Those with indicators of symptomatic BPH are at signi cantly greater risk of urinary retention.

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“…These findings are consistent with and extend those from a previous review on the subject. Makary et al 20 reviewed the literature on gynecologic and urologic procedures to evaluate the effect of bladder infusion on trial of void success. The authors' findings were consistent with ours, where they found a shorter time to void and faster hospital discharge in the intervention group.…”

Section: Discussionmentioning

confidence: 99%

Retrograde Bladder Filling After Outpatient Gynecologic Surgery

Thiel

Mathur

Zakhari

et al. 2021

Obstetrics &Amp; Gynecology

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OBJECTIVE: To systematically review and meta-analyze randomized controlled trials (RCTs) comparing postoperative bladder retrofilling to passive filling after outpatient gynecologic surgery to evaluate effects on postoperative outcomes. DATA SOURCES: We searched MEDLINE, PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), EMBASE, and ClinicalTrials.gov from 1947 to August 2020. METHODS OF STUDY SELECTION: Two reviewers screened 1,465 articles. We included RCTs that compared postoperative bladder retrofilling to passive filling in patients who underwent outpatient gynecologic surgery by any approach. The primary outcome was the time to first void. Secondary outcomes included time to discharge, postoperative urinary retention, urinary tract infection, and patient satisfaction. Mean differences and relative risks (RRs) were calculated for the meta-analysis. Risk of bias was assessed using the Cochrane Risk of Bias Tool. TABULATION, INTEGRATION, AND RESULTS: We included eight studies with 1,173 patients. Bladder retrofilling in the operating room resulted in a significant decrease in the time to first void (mean difference −33.5 minutes; 95% CI −49.1 to −17.9, 4 studies, 403 patients) and time to discharge (mean difference –32.0 minutes; 95% CI −51.5 to −12.6, eight studies, 1,164 patients). Bladder retrofilling did not shorten time to discharge when performed in the postanesthetic care unit (mean difference –14.8 min; 95% CI −62.6 to 32.9, three studies, 258 patients) or after laparoscopic hysterectomy (mean difference –26.0 min; 95% CI −56.5 to 4.5, five studies, 657 patients). There were no differences in postoperative urinary retention (RR 0.77; 95% CI 0.45–1.30, five studies, 910 patients) or risk of urinary tract infection between the retrofill and passive fill groups (RR 0.50; 95% CI 0.14–1.77, four studies, 387 patients). Patient satisfaction was comparable between groups. CONCLUSION: Retrofilling the bladder in the operating room after outpatient gynecologic surgery modestly reduces the time to first void and discharge with no increase in adverse events. SYSTEMATIC REVIEW REGISTRATION: PROSPERO, CRD42020203692.

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Bladder infusion versus standard catheter removal for trial of void: a systematic review and meta-analysis

Cited by 10 publications

References 23 publications

Bladder Backfilling versus Standard Catheter Removal for Trial of Void after Outpatient Laparoscopic Gynecologic Surgery: A Systematic Review and Meta-Analysis

Bladder Backfilling versus Standard Catheter Removal for Trial of Void after Outpatient Laparoscopic Gynecologic Surgery: A Systematic Review and Meta-Analysis

Factors associated with postoperative urinary retention in patients undergoing penile prosthesis implantation

Retrograde Bladder Filling After Outpatient Gynecologic Surgery

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