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Urinary drainage following continence surgery: development of Canadian best practice guidelines
Barbara Lewthwaite1, Lise Girouard
1St Boniface General Hospital, Winnipeg, Canada.
Introduction:
Researchers evaluated the impact of a new algorithm for postoperative catheter removal with women who underwent surgery for stress incontinence.
Objective:
This study aimed to improve the postoperative process by developing practice guidelines for urinary drainage after surgery for urinary stress incontinence in a female population.
Method:
The quality improvement study collected 2 years of retrospective data and 1 year of prospective data on all women who had surgery for stress incontinence. This involved a variety of surgical procedures that were performed by a small number of surgeons.
Results:
Burch colposuspension was the predominant procedure, and on the prospective piece of the study, with the new guidelines, time to first postoperative void decreased.
Conclusions:
Fewer interventions and decreased length of stay indicated that the guidelines are evidence of improved practice.
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