Trial Outcomes & Findings for Timing of Repeat Voiding Trials After Outpatient Pelvic Floor Surgery (NCT NCT03048682)

NCT ID: NCT03048682

Last Updated: 2024-08-21

Results Overview

Determine the rates of failed voiding trials in each of the two groups

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

64 participants

Primary outcome timeframe

within 8 days of surgery

Results posted on

2024-08-21

Participant Flow

Participant milestones

Participant milestones
Measure
Early Voiding Trial
All subjects that are discharged home with a Foley catheter will need an in-office repeat voiding trial. Subjects in this group will have their repeat voiding trial on post-op day #2, 3, or 4 Foley catheter - Early Voiding Trial: All subjects that are discharged home with a Foley catheter will need an in-office repeat voiding trial. Subjects in the Early Voiding group will have their repeat voiding trial on post-op day #2, 3, or 4 will undergo an in-office voiding trial. The experimental group will return for an in-office voiding trial sooner than the active comparator.
Late Voiding Trial
All subjects that are discharged home with a Foley catheter will need an in-office repeat voiding trial. Subjects in this group will have their repeat voiding trial on post-op day #7 or after. This is our current practice. Foley catheter - Late Voiding Trial: All subjects that are discharged home with a Foley catheter will need an in-office repeat voiding trial. Subjects in the Late Voiding group will have their repeat voiding trial on post-op day #7 or after. This is our current practice
Overall Study
STARTED
32
32
Overall Study
COMPLETED
30
30
Overall Study
NOT COMPLETED
2
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Not all subjects underwent urodynamic testing.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Early Voiding Trial
n=32 Participants
All subjects that are discharged home with a Foley catheter will need an in-office repeat voiding trial. Subjects in this group will have their repeat voiding trial on post-op day #2, 3, or 4 Foley catheter - Early Voiding Trial: All subjects that are discharged home with a Foley catheter will need an in-office repeat voiding trial. Subjects in the Early Voiding group will have their repeat voiding trial on post-op day #2, 3, or 4 will undergo an in-office voiding trial. The experimental group will return for an in-office voiding trial sooner than the active comparator.
Late Voiding Trial
n=32 Participants
All subjects that are discharged home with a Foley catheter will need an in-office repeat voiding trial. Subjects in this group will have their repeat voiding trial on post-op day #7 or after. This is our current practice. Foley catheter - Late Voiding Trial: All subjects that are discharged home with a Foley catheter will need an in-office repeat voiding trial. Subjects in the Late Voiding group will have their repeat voiding trial on post-op day #7 or after. This is our current practice
Total
n=64 Participants
Total of all reporting groups
Age, Continuous
64.06 years
STANDARD_DEVIATION 12.04 • n=32 Participants
65.31 years
STANDARD_DEVIATION 11.45 • n=32 Participants
64.69 years
STANDARD_DEVIATION 11.67 • n=64 Participants
Sex: Female, Male
Female
32 Participants
n=32 Participants
32 Participants
n=32 Participants
64 Participants
n=64 Participants
Sex: Female, Male
Male
0 Participants
n=32 Participants
0 Participants
n=32 Participants
0 Participants
n=64 Participants
Race/Ethnicity, Customized
Caucasian
23 participants
n=32 Participants
26 participants
n=32 Participants
49 participants
n=64 Participants
Race/Ethnicity, Customized
Hispanic
3 participants
n=32 Participants
5 participants
n=32 Participants
8 participants
n=64 Participants
Race/Ethnicity, Customized
African American
6 participants
n=32 Participants
1 participants
n=32 Participants
7 participants
n=64 Participants
Region of Enrollment
United States
32 participants
n=32 Participants
32 participants
n=32 Participants
64 participants
n=64 Participants
BMI
28.24 kg/m^2
STANDARD_DEVIATION 6.77 • n=32 Participants
26.34 kg/m^2
STANDARD_DEVIATION 5.23 • n=32 Participants
27.29 kg/m^2
STANDARD_DEVIATION 6.07 • n=64 Participants
Smoking status
Current
0 Participants
n=32 Participants
0 Participants
n=32 Participants
0 Participants
n=64 Participants
Smoking status
Former
4 Participants
n=32 Participants
5 Participants
n=32 Participants
9 Participants
n=64 Participants
Smoking status
Never
28 Participants
n=32 Participants
27 Participants
n=32 Participants
55 Participants
n=64 Participants
Postmenopausal
28 Participants
n=32 Participants
27 Participants
n=32 Participants
55 Participants
n=64 Participants
prior hysterectomy
8 Participants
n=32 Participants
9 Participants
n=32 Participants
17 Participants
n=64 Participants
POP-Q stage
POP- Q Stage II
15 Participants
n=32 Participants
10 Participants
n=32 Participants
25 Participants
n=64 Participants
POP-Q stage
POP- Q Stage III
15 Participants
n=32 Participants
21 Participants
n=32 Participants
36 Participants
n=64 Participants
POP-Q stage
POP-Q Stage IV
2 Participants
n=32 Participants
1 Participants
n=32 Participants
3 Participants
n=64 Participants
pre-operative post void residual
38.84 ml
STANDARD_DEVIATION 30.11 • n=32 Participants
38.94 ml
STANDARD_DEVIATION 39.62 • n=32 Participants
38.89 ml
STANDARD_DEVIATION 34.90 • n=64 Participants
Urodynamic diagnosed incontinence
None
14 Participants
n=28 Participants • Not all subjects underwent urodynamic testing.
14 Participants
n=29 Participants • Not all subjects underwent urodynamic testing.
28 Participants
n=57 Participants • Not all subjects underwent urodynamic testing.
Urodynamic diagnosed incontinence
SUI
11 Participants
n=28 Participants • Not all subjects underwent urodynamic testing.
9 Participants
n=29 Participants • Not all subjects underwent urodynamic testing.
20 Participants
n=57 Participants • Not all subjects underwent urodynamic testing.
Urodynamic diagnosed incontinence
ISD
2 Participants
n=28 Participants • Not all subjects underwent urodynamic testing.
3 Participants
n=29 Participants • Not all subjects underwent urodynamic testing.
5 Participants
n=57 Participants • Not all subjects underwent urodynamic testing.
Urodynamic diagnosed incontinence
DO
1 Participants
n=28 Participants • Not all subjects underwent urodynamic testing.
3 Participants
n=29 Participants • Not all subjects underwent urodynamic testing.
4 Participants
n=57 Participants • Not all subjects underwent urodynamic testing.
Concurrent vaginal hysterectomy
21 Participants
n=32 Participants
11 Participants
n=32 Participants
32 Participants
n=64 Participants
Apical Suspension
25 Participants
n=32 Participants
27 Participants
n=32 Participants
52 Participants
n=64 Participants
Type of Apical Suspension
Sacrospinous Fixation
10 Participants
n=25 Participants • Not all subjects underwent an apical suspension
14 Participants
n=27 Participants • Not all subjects underwent an apical suspension
24 Participants
n=52 Participants • Not all subjects underwent an apical suspension
Type of Apical Suspension
Uterosacral Suspension
15 Participants
n=25 Participants • Not all subjects underwent an apical suspension
13 Participants
n=27 Participants • Not all subjects underwent an apical suspension
28 Participants
n=52 Participants • Not all subjects underwent an apical suspension
Anterior Colporrhaphy
24 Participants
n=32 Participants
27 Participants
n=32 Participants
51 Participants
n=64 Participants
Posterior Colporrhaphy
30 Participants
n=32 Participants
32 Participants
n=32 Participants
62 Participants
n=64 Participants
Midurethral Sling
18 Participants
n=32 Participants
14 Participants
n=32 Participants
32 Participants
n=64 Participants
Vaginal Pack Used
15 Participants
n=32 Participants
13 Participants
n=32 Participants
28 Participants
n=64 Participants
Intra-operative Urine Dye
None
18 Participants
n=32 Participants
23 Participants
n=32 Participants
41 Participants
n=64 Participants
Intra-operative Urine Dye
Fluorescein
7 Participants
n=32 Participants
3 Participants
n=32 Participants
10 Participants
n=64 Participants
Intra-operative Urine Dye
Indigo Carmine
5 Participants
n=32 Participants
5 Participants
n=32 Participants
10 Participants
n=64 Participants
Intra-operative Urine Dye
Phenazopyridine
2 Participants
n=32 Participants
1 Participants
n=32 Participants
3 Participants
n=64 Participants
Intra-operative use of Furosemide
4 Participants
n=32 Participants
5 Participants
n=32 Participants
9 Participants
n=64 Participants
Anesthesia
General
31 Participants
n=32 Participants
32 Participants
n=32 Participants
63 Participants
n=64 Participants
Anesthesia
Spinal
1 Participants
n=32 Participants
0 Participants
n=32 Participants
1 Participants
n=64 Participants
Total Morphine Dose Equivalents
21.45 morphine dose equivalents
STANDARD_DEVIATION 11.85 • n=32 Participants
18.67 morphine dose equivalents
STANDARD_DEVIATION 8.72 • n=32 Participants
20.06 morphine dose equivalents
STANDARD_DEVIATION 10.41 • n=64 Participants

PRIMARY outcome

Timeframe: within 8 days of surgery

Determine the rates of failed voiding trials in each of the two groups

Outcome measures

Outcome measures
Measure
Early Voiding Trial
n=30 Participants
All subjects that are discharged home with a Foley catheter will need an in-office repeat voiding trial. Subjects in this group will have their repeat voiding trial on post-op day #2, 3, or 4 Foley catheter - Early Voiding Trial: All subjects that are discharged home with a Foley catheter will need an in-office repeat voiding trial. Subjects in the Early Voiding group will have their repeat voiding trial on post-op day #2, 3, or 4 will undergo an in-office voiding trial. The experimental group will return for an in-office voiding trial sooner than the active comparator.
Late Voiding Trial
n=30 Participants
All subjects that are discharged home with a Foley catheter will need an in-office repeat voiding trial. Subjects in this group will have their repeat voiding trial on post-op day #7 or after. This is our current practice. Foley catheter - Late Voiding Trial: All subjects that are discharged home with a Foley catheter will need an in-office repeat voiding trial. Subjects in the Late Voiding group will have their repeat voiding trial on post-op day #7 or after. This is our current practice
Failed Office Voiding Trials
7 Participants
1 Participants

SECONDARY outcome

Timeframe: within 6 weeks of surgery

Determine the rates of urinary tract infections in each of the two groups

Outcome measures

Outcome measures
Measure
Early Voiding Trial
n=30 Participants
All subjects that are discharged home with a Foley catheter will need an in-office repeat voiding trial. Subjects in this group will have their repeat voiding trial on post-op day #2, 3, or 4 Foley catheter - Early Voiding Trial: All subjects that are discharged home with a Foley catheter will need an in-office repeat voiding trial. Subjects in the Early Voiding group will have their repeat voiding trial on post-op day #2, 3, or 4 will undergo an in-office voiding trial. The experimental group will return for an in-office voiding trial sooner than the active comparator.
Late Voiding Trial
n=30 Participants
All subjects that are discharged home with a Foley catheter will need an in-office repeat voiding trial. Subjects in this group will have their repeat voiding trial on post-op day #7 or after. This is our current practice. Foley catheter - Late Voiding Trial: All subjects that are discharged home with a Foley catheter will need an in-office repeat voiding trial. Subjects in the Late Voiding group will have their repeat voiding trial on post-op day #7 or after. This is our current practice
Urinary Tract Infections
7 Participants
2 Participants

SECONDARY outcome

Timeframe: within 6 weeks of surgery

Determine the rates of patient satisfaction in each of the two groups using a Likert scale (1= very bothersome; 5= Not bothersome at all)

Outcome measures

Outcome measures
Measure
Early Voiding Trial
n=30 Participants
All subjects that are discharged home with a Foley catheter will need an in-office repeat voiding trial. Subjects in this group will have their repeat voiding trial on post-op day #2, 3, or 4 Foley catheter - Early Voiding Trial: All subjects that are discharged home with a Foley catheter will need an in-office repeat voiding trial. Subjects in the Early Voiding group will have their repeat voiding trial on post-op day #2, 3, or 4 will undergo an in-office voiding trial. The experimental group will return for an in-office voiding trial sooner than the active comparator.
Late Voiding Trial
n=30 Participants
All subjects that are discharged home with a Foley catheter will need an in-office repeat voiding trial. Subjects in this group will have their repeat voiding trial on post-op day #7 or after. This is our current practice. Foley catheter - Late Voiding Trial: All subjects that are discharged home with a Foley catheter will need an in-office repeat voiding trial. Subjects in the Late Voiding group will have their repeat voiding trial on post-op day #7 or after. This is our current practice
Rate of Bother From Urinary Catheter
3 score on a scale
Interval 1.0 to 3.5
2 score on a scale
Interval 1.0 to 3.0

Adverse Events

Early Voiding Trial

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Late Voiding Trial

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Catherine Matthews

Wake Forest Baptist Health

Phone: 336-716-4131

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place