Self-discontinuation of Urinary Catheters in a Rural Population
NCT07041151 · Status: WITHDRAWN · Phase: NA · Type: INTERVENTIONAL
Last updated 2026-04-01
Summary
The goal of this study is to understand patient satisfaction with two different ways of managing difficulty urinating after gynecologic surgery with a focus on those patients who receive care in a rural area.
One common practice is to have an "office catheter removal." This means, if a patient has trouble urinating after surgery and goes home with a foley catheter, they usually have to come back to the clinic within 2-3 days to have the catheter removed and to do a test to see if they can urinate on their own. For some patients, coming back to the clinic so soon after surgery can be difficult, especially for those patients who live far away or are dependent on others for getting to appointments.
A second, less common, practice is to have patients remove their own catheter at home, or "self-removal of urinary (Foley) catheter." With self-removal, patients remove their Foley catheter at home, and confirm that they are urinating normally. This approach has been shown to be safe, with similar patient satisfactions, and success, but those studies did not take into account situations where patients may live a rural area and/or travel a long distance to the medical center to receive care.
This study is comparing the in-office removal with self-removal. The goal is to find out which option patients prefer, how convenient each approach is, and how well they work. The main goal of this study is to understand patient satisfaction and improve care after surgery.
Conditions
- Post-Operative Urinary Retention
Interventions
- OTHER
-
At-home Foley Catheter Self-Removal with Passive Void Trial
Participants will remove their foley catheter at home and perform a passive void trial. They will be instructed to drink fluids and attempt to void within a designated time frame. Instructions and support will be provided to ensure safety and follow-up, including clinic contact if voiding is unsuccessful.
- OTHER
-
In-Office Foley Catheter Removal and Backfill Void Trial
Participants will return to clinic for removal of their foley catheter and undergo a backfill void trial. Standard protocols for instillation and assessment of urinary retention will be followed.
Sponsors & Collaborators
-
Dartmouth-Hitchcock Medical Center
lead OTHER
Principal Investigators
-
Ekaterina Grebenyuk, MD · Dartmouth-Hitchcock Medical Center
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-08-12
- Primary Completion
- 2025-10-01
- Completion
- 2025-10-01
Countries
- United States
Study Locations
More Related Trials
-
The Impact of Post-operative Voiding Trial on Length of Stay Following Laparoscopic Hysterectomy: A Prospective, Randomized Control Trial
NCT04487600 ·Status: COMPLETED ·Phase: NA
-
Strict Need to Void After Same-day Discharge, Non-urogynecologic, Minimally Invasive Hysterectomy
NCT05108506 ·Status: COMPLETED ·Phase: NA
-
When is the Best Moment to Remove the Urinary Catheter After Laparoscopic Hysterectomy?
NCT02742636 ·Status: COMPLETED ·Phase: NA
-
Indwelling vs Immediate Removal of Foley Catheter After Robotic Assisted Laparoscopic Sacrocolpopexy: a Prospective Study
NCT02765893 ·Status: COMPLETED ·Phase: NA
-
Can Investigators Reduce Urinary Catheter Use and Lower Urinary Tract Infection Among Women Undergoing Benign Gynecologic Surgery?
NCT03127280 ·Status: COMPLETED ·Phase: NA
-
Removal of Urinary Catheter After Radical Surgery
NCT03570593 ·Status: COMPLETED ·Phase: NA
-
Optimization of Ureterolysis During Hysterectomy
NCT03123315 ·Status: WITHDRAWN ·Phase: NA
-
Postoperative Bladder Filling After Outpatient Laparoscopic Hysterectomy and Time to Discharge
NCT06737393 ·Status: RECRUITING ·Phase: NA
-
Mechanical Bowel Preparation Before Laparoscopic Hysterectomy and Laparoscopic Sacrocolpopexy: a Randomized Controlled Trial
NCT01576965 ·Status: COMPLETED ·Phase: NA
-
Role of Bladder Training During Post-operative Hospital Stay After Radical Hysterectomy in Patients
NCT01907646 ·Status: COMPLETED ·Phase: PHASE2
-
The Effect of Clamping the Indwelling Urethral Catheter Before Removal From Patients After Type III Radical Hysterectomy
NCT02083614 ·Status: UNKNOWN ·Phase: NA
-
Foley Catheterization Following Sacrocolpopexy
NCT01525498 ·Status: WITHDRAWN
-
VCare Versus SecuFix Uterine Manipulator for Total Laparoscopic Hysterectomy
NCT06398769 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Post Hysterectomy Benefits of Retained Cystoscopy Fluid
NCT03646136 ·Status: COMPLETED ·Phase: NA
-
Feasibility of Ambulatory Hysterectomy
NCT03290339 ·Status: UNKNOWN
-
Pelvic Floor Support After Laparoscopic Hysterectomy for Benign Conditions: A Randomized Controlled Trial Comparing Vaginal Cuff Closure Techniques
NCT03753516 ·Status: TERMINATED ·Phase: NA
-
Tissue Removal During Hysterectomy: The Effect of Vaginal Versus Abdominal Morcellation on Surgical Outcomes
NCT02703246 ·Status: WITHDRAWN ·Phase: NA
-
Role of Uterine Manipulator in Hysterectomy - Ro.Man.HY
NCT02762214 ·Status: UNKNOWN ·Phase: PHASE3
-
Safety, Efficacy and Operability of Using the New Tissue Containment System During Laprascopic Hysterectomy
NCT04423172 ·Status: UNKNOWN ·Phase: NA
-
Conversion of Evidence and Applied Research on Intermittent Catheterization After Radical Hysterectomy
NCT06529107 ·Status: RECRUITING ·Phase: NA
-
Postoperative Urinary Retention and Urinary Track Infection (UTI) After Laparoscopic Assisted Vaginal Hysterectomy (LAVH) for Benign Disease
NCT00564135 ·Status: COMPLETED ·Phase: NA
-
Perioperative Outcomes of Common Methods of Minimally Invasive Contained Tissue Extraction
NCT02496130 ·Status: COMPLETED
-
Does Straight Catheterization in Short Gynecologic Procedures Cause Bacteriuria?
NCT01926756 ·Status: UNKNOWN ·Phase: NA
-
Urinary Procedures Performed by Gynecologists, Results and Learning Curves.
NCT05150262 ·Status: UNKNOWN
-
Prophylactic Modified McCall Culdoplasty During Total Laparoscopic Hysterectomy
NCT01840176 ·Status: COMPLETED ·Phase: NA