Trial of Two Techniques to Assess Postoperative Voiding Function
Trial of Two Techniques to Assess Postoperative Voiding Function
Stress urinary incontinence (SUI) is a common condition that affects up to 35% of women. Many
 surgical procedures have been developed to treat SUI, and midurethral slings have gradually
 become the first line treatment. Voiding dysfunction, or inability for a patient to empty her
 bladder, immediately after surgery is common. A bladder test is often performed in the
 recovery area to see if the patient is able to empty her bladder. This typically consists of
 filling the bladder with 300 mL of saline through the foley catheter. The catheter is then
 removed and the patient is asked to void. The investigators then measure the voided volume
 and the residual left inside the bladder to determine if she is able to empty her bladder
 sufficiently or not. A successful voiding trial is defined as voiding 2/3 of the total volume
 in the bladder and having less than 100 mL left inside the bladder as residual. Our goal of
 this study was to evaluate efficiency and effectiveness of a retrograde postoperative voiding
 trial that is initiated in the operating room. Our hypothesis was that a retrograde
 postoperative voiding trial initiated in the operating room would be as effective as a
 standard retrograde postoperative voiding trial to predict postoperative voiding dysfunction
 while allowing for patients to spend less time in the recovery unit.
Inclusion Criteria:

 -  English-speaking

 -  Women over the age of 18

 -  Patients with stress urinary incontinence planning to undergo midurethral sling
 placement

 Exclusion Criteria:

 -  Prior incontinence surgery

 -  Concomitant surgery for pelvic organ prolapse except for anterior repair

 -  Intraoperative cystotomy

 -  Patients taking anticholinergic medication