Trial Outcomes & Findings for Urinary Retention After Laparoscopic Inguinal Hernia Repair: Comparing the Use of the Intraoperative Urinary Catheter (NCT NCT03835351)

NCT ID: NCT03835351

Last Updated: 2022-05-03

Results Overview

The rate of postoperative urinary retention requiring insertion of a urinary catheter

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

491 participants

Primary outcome timeframe

From the day of surgery until postoperative day 30

Results posted on

2022-05-03

Participant Flow

Participant milestones

Participant milestones
Measure
Intraoperative Urinary Catheter
After induction of general anesthesia, a standard catheterization kit available at the institution where the surgery is being performed will be used to place the urinary catheter using standard sterile technique. Urinary Catheter: An intraoperative urinary catheter will be inserted which will be taken out at the end of the case
No Intraoperative Urinary Catheter
No intraoperative urinary catheter will be used during the case
Overall Study
STARTED
241
250
Overall Study
COMPLETED
241
250
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Urinary Retention After Laparoscopic Inguinal Hernia Repair: Comparing the Use of the Intraoperative Urinary Catheter

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intraoperative Urinary Catheter
n=241 Participants
After induction of general anesthesia, a standard catheterization kit available at the institution where the surgery is being performed will be used to place the urinary catheter using standard sterile technique. Urinary Catheter: An intraoperative urinary catheter will be inserted which will be taken out at the end of the case
No Intraoperative Urinary Catheter
n=250 Participants
No intraoperative urinary catheter will be used during the case
Total
n=491 Participants
Total of all reporting groups
Age, Continuous
61 Years
n=99 Participants
62 Years
n=107 Participants
61 Years
n=206 Participants
Sex: Female, Male
Female
9 Participants
n=99 Participants
17 Participants
n=107 Participants
26 Participants
n=206 Participants
Sex: Female, Male
Male
232 Participants
n=99 Participants
233 Participants
n=107 Participants
465 Participants
n=206 Participants
Race/Ethnicity, Customized
Asian or Pacific Islander
4 Participants
n=99 Participants
3 Participants
n=107 Participants
7 Participants
n=206 Participants
Race/Ethnicity, Customized
Black, not of Hispanic Origin
18 Participants
n=99 Participants
33 Participants
n=107 Participants
51 Participants
n=206 Participants
Race/Ethnicity, Customized
Hispanic
5 Participants
n=99 Participants
9 Participants
n=107 Participants
14 Participants
n=206 Participants
Race/Ethnicity, Customized
Middle Eastern
5 Participants
n=99 Participants
1 Participants
n=107 Participants
6 Participants
n=206 Participants
Race/Ethnicity, Customized
White, not of Hispanic Origin
209 Participants
n=99 Participants
204 Participants
n=107 Participants
413 Participants
n=206 Participants
Region of Enrollment
United States
241 participants
n=99 Participants
250 participants
n=107 Participants
491 participants
n=206 Participants

PRIMARY outcome

Timeframe: From the day of surgery until postoperative day 30

The rate of postoperative urinary retention requiring insertion of a urinary catheter

Outcome measures

Outcome measures
Measure
Intraoperative Urinary Catheter
n=241 Participants
After induction of general anesthesia, a standard catheterization kit available at the institution where the surgery is being performed will be used to place the urinary catheter using standard sterile technique. Urinary Catheter: An intraoperative urinary catheter will be inserted which will be taken out at the end of the case
No Intraoperative Urinary Catheter
n=250 Participants
No intraoperative urinary catheter will be used during the case
Number of Participants With Post Operative Urinary Retention
23 Participants
21 Participants

SECONDARY outcome

Timeframe: Measured from Beginning of Anesthesia to the End of Anesthesia and up to 4 hours Post Operatively

This will be determined by comparing the rates of intraoperative bladder injuries between the two study groups

Outcome measures

Outcome measures
Measure
Intraoperative Urinary Catheter
n=241 Participants
After induction of general anesthesia, a standard catheterization kit available at the institution where the surgery is being performed will be used to place the urinary catheter using standard sterile technique. Urinary Catheter: An intraoperative urinary catheter will be inserted which will be taken out at the end of the case
No Intraoperative Urinary Catheter
n=250 Participants
No intraoperative urinary catheter will be used during the case
Number of Participants With Intraoperative Bladder Injuries
0 Participants
0 Participants

SECONDARY outcome

Timeframe: From the day of surgery until postoperative day 30

This will be accomplished by analyzing the rates of urinary tract injury, infections and bladder injuries due to intraoperative catheter placement.

Outcome measures

Outcome measures
Measure
Intraoperative Urinary Catheter
n=241 Participants
After induction of general anesthesia, a standard catheterization kit available at the institution where the surgery is being performed will be used to place the urinary catheter using standard sterile technique. Urinary Catheter: An intraoperative urinary catheter will be inserted which will be taken out at the end of the case
No Intraoperative Urinary Catheter
n=250 Participants
No intraoperative urinary catheter will be used during the case
Number of Participants Who Have Complications From Intra-operative Urinary Catheter
Intraop Complication, other
5 participants
1 participants
Number of Participants Who Have Complications From Intra-operative Urinary Catheter
Intraop Complication Urethral Trauma
1 participants
0 participants

SECONDARY outcome

Timeframe: From the day of surgery until postoperative day 30

This will be accomplished by analyzing the rates of urinary tract injury, or infections and bladder injuries due to catheter placement after patients develop post operative urinary retention.

Outcome measures

Outcome measures
Measure
Intraoperative Urinary Catheter
n=241 Participants
After induction of general anesthesia, a standard catheterization kit available at the institution where the surgery is being performed will be used to place the urinary catheter using standard sterile technique. Urinary Catheter: An intraoperative urinary catheter will be inserted which will be taken out at the end of the case
No Intraoperative Urinary Catheter
n=250 Participants
No intraoperative urinary catheter will be used during the case
Number of Participants With Complications Urinary Catheter Who Develop Retention
Urinary Tract Injury
1 Participants
0 Participants
Number of Participants With Complications Urinary Catheter Who Develop Retention
Bladder Injuries
0 Participants
0 Participants
Number of Participants With Complications Urinary Catheter Who Develop Retention
Infection
21 Participants
28 Participants
Number of Participants With Complications Urinary Catheter Who Develop Retention
None
219 Participants
222 Participants

Adverse Events

Intraoperative Urinary Catheter

Serious events: 1 serious events
Other events: 3 other events
Deaths: 0 deaths

No Intraoperative Urinary Catheter

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Intraoperative Urinary Catheter
n=241 participants at risk
After induction of general anesthesia, a standard catheterization kit available at the institution where the surgery is being performed will be used to place the urinary catheter using standard sterile technique. Urinary Catheter: An intraoperative urinary catheter will be inserted which will be taken out at the end of the case
No Intraoperative Urinary Catheter
n=250 participants at risk
No intraoperative urinary catheter will be used during the case
Renal and urinary disorders
Urethra Injury
0.41%
1/241 • Number of events 1 • 30 days following surgery
0.00%
0/250 • 30 days following surgery

Other adverse events

Other adverse events
Measure
Intraoperative Urinary Catheter
n=241 participants at risk
After induction of general anesthesia, a standard catheterization kit available at the institution where the surgery is being performed will be used to place the urinary catheter using standard sterile technique. Urinary Catheter: An intraoperative urinary catheter will be inserted which will be taken out at the end of the case
No Intraoperative Urinary Catheter
n=250 participants at risk
No intraoperative urinary catheter will be used during the case
Blood and lymphatic system disorders
Anemia Requiring Transfusion
0.41%
1/241 • Number of events 1 • 30 days following surgery
0.00%
0/250 • 30 days following surgery
Gastrointestinal disorders
Ileus
0.00%
0/241 • 30 days following surgery
0.40%
1/250 • Number of events 1 • 30 days following surgery
Vascular disorders
Deep Vein Thrombosis
0.00%
0/241 • 30 days following surgery
0.40%
1/250 • Number of events 1 • 30 days following surgery
Gastrointestinal disorders
Bowel Obstruction
0.00%
0/241 • 30 days following surgery
0.80%
2/250 • Number of events 2 • 30 days following surgery
Renal and urinary disorders
Renal Failure
0.00%
0/241 • 30 days following surgery
0.40%
1/250 • Number of events 1 • 30 days following surgery
Infections and infestations
Urinary Tract Infection
0.83%
2/241 • Number of events 2 • 30 days following surgery
2.4%
6/250 • Number of events 6 • 30 days following surgery

Additional Information

Dr. Michael Rosen

Cleveland Clinic Foundation

Phone: 12164453441

Results disclosure agreements

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