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Patterns of voiding following laparoscopic hysterectomy
Jordan S Klebanoff1, Whitney A Barnes1, Jamil Kazma1
1Department of Obstetrics and Gynecology, The George Washington University Hospital, 900 23rd Street NW, Washington, DC 20037, USA.
Journal of Gynecology Obstetrics and Human Reproduction
|March 29, 2021
Summary
Most patients void within 4 hours after minimally invasive hysterectomy, aligning with historical data. Older age and prior myomectomy may correlate with longer postoperative voiding times.
Area of Science:
- Urology
- Gynecologic Surgery
Background:
- Minimally invasive hysterectomy is increasingly common.
- Understanding normal postoperative voiding patterns is crucial for patient discharge and recovery.
Purpose of the Study:
- To define normal voiding times after laparoscopic hysterectomy.
- To identify factors associated with delayed postoperative voiding.
Main Methods:
- Retrospective cohort study of 450 women undergoing laparoscopic hysterectomy (robotic or conventional).
- Analysis of time-to-void after a 150 mL retrograde bladder fill.
- Comparison of demographic and perioperative factors between groups based on time-to-void.
Main Results:
- Median time-to-void was 179 minutes.
- Older age, prior myomectomy, and longer PACU stay were associated with delayed voiding.
- No significant difference in time-to-void between robotic and conventional laparoscopy.
Conclusions:
- Most patients void within 4 hours after laparoscopic hysterectomy.
- This supports safe same-day discharge protocols.
- Voiding patterns are consistent with historical data.
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