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• W2917992282 abstract "Despite recent advances in ERAS protocols for gynecologic surgery, there is little guidance on the clinical significance of post-operative voiding prior to discharge in the minimally invasive setting. The objective of this study was to determine if there is a significant difference in re-admission when patients are not required to void prior to discharge following a same-day gynecologic procedure. After obtaining Institutional Review Board approval, we performed a retrospective comparison of patients undergoing outpatient gynecologic surgery from January 2015 to October 2017. Women who had procedures performed in pregnancy, concomitant urologic procedures, and invasive cancers were excluded. Patient charts were reviewed for the presence or absence of an order for the patient to spontaneously void prior to discharge, emergency room visits and re-admission within 30 days, and time to discharge in the post-anesthesia recovery unit. A total of 4743 patients undergoing same-day procedures were identified. There was no statistically difference in the re-admission rate between patients with or without an order to void prior to discharge (0.4% versus 0.9%, p = 0.08). Only three patients were re-admitted for urinary retention (all with an order to void prior to discharge). Compared to benign gynecologic surgeons, gynecologic oncologists were 23% more likely to place an order to void prior to discharge. Patients with an order to void spent approximately 59 minutes more in PACU than those without (p <0.001). Discharge without an order to void is a safe practice in patients undergoing same-day gynecologic procedures. The risk of post-discharge urinary retention is minimal, consistent with previously reported rates in the literature. In addition, practice patterns are influenced by the surgeon type. Given the apparent absence of increased rates of re-admission, omitting an order to void is potentially a cost-saving measure." @default.
• W2917992282 created "2019-03-02" @default.
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• W2917992282 date "2019-03-01" @default.
• W2917992282 modified "2023-09-23" @default.
• W2917992282 title "44: Patient discharge prior to spontaneous void in the outpatient gynecologic surgery setting" @default.
• W2917992282 doi "https://doi.org/10.1016/j.ajog.2019.01.074" @default.
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