Infusion-fill method versus standard auto-fill trial of void protocol following a TVT-exact procedure: A randomised controlled trial

Abstract

OBJECTIVE: To establish whether the infusion method trial of void (TOV) after a mid-urethral sling procedure, in contrast to the standard auto-fill TOV, permits discharge home from recovery, as these procedures are eminently suited to same day discharge, and the delay in achieving a successful TOV often keeps the patient in hospital overnight. METHOD: A randomised controlled trial performed between December 2014 and April 2016 at the University Hospital, enrolling 40 women undergoing a mid-urethral sling procedure for stress urinary incontinence. The women were randomised to infusion method or auto-fill method TOV. The primary outcome was discharge home from the recovery area of theatre. RESULTS: Discharge from recovery was not different between the two groups (odds ratio (OR) 1.3 95% CI: 0.3-5.9, P = 0.71). The rate of TOV being successfully passed in recovery was higher in the infusion-fill group compared to the standard auto-fill group (OR 4.5 95% CI 1.2-17.4, P = 0.025). This means that three women will undergo the infusion-fill to achieve one more successful TOV in recovery. CONCLUSIONS: The infusion method resulted in more women passing their TOV in recovery but this did not translate into more discharges from recovery.1479-828xMowat, Alexandra <br />ORCID: http://orcid.org/0000-0003-0264-4697 <br />Brown, Bernadette <br />Pelecanos, Anita <br />Mowat, Victoria <br />Frazer, Malcolm <br />Journal Article <br />Australia <br />Aust N Z J Obstet Gynaecol. 2018 Jan 31. doi: 10.1111/ajo.12780. <br />