Comparison of the success rate in urinary evacuation after women's anterior colporrhaphy surgeries using two methods: spontaneous urinary evacuation and retrograde bladder filling.

Determination of urine volume for evaluation of urine voiding after anterior colporrhaphy surgery

A phase I randomized, unblinded, two-intervention, parallel-group clinical trial on 110 patients, using sealed envelopes and a random number table for randomization.

In this clinical trial, 110 patients who were candidates for anterior colporrhaphy at Kowsar Women's Hospital in Urmia were randomly enrolled in the study and were divided into two groups without blinding to determine urine volume to evaluate bladder emptying after anterior colporrhaphy surgeries.

Inclusion criteria: Pvr more than 150cc، patients with urinary tract damage that needs catheterization before surgery, detrusor muscle weakness at urodynamic test before surgery

People who undergo anterior colporrhaphy fall into 2 groups: In group 1, the urinary catheter will be removed immediately after the surgery is completed and before the patient wakes up from anesthesia. Patients will be monitored for 6 hours and urinary function will be considered successful if they pass at least 150 ml of urine during the corresponding time.In group 2, patients will be discharged from the operating room with a urinary catheter, and the bladder will be filled with 300 ml of normal saline after the patients wake up from anesthesia, and then the urinary catheter will be removed. Patients should then be monitored for urinary function over a period of sixty minutes.

Age, BMI, parity, previous surgical history, preoperative PVR, postoperative PVR, surgical duration, urinary function success, urine output, full and empty bladder volume, postoperative urinary retention, length of stay, complications, need for catheterization after surgery

Randomization was done simply and individually by selecting from a sealed envelope.