{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T14:35:42Z","timestamp":1793889342013,"version":"4.8.0"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,5,22]],"date-time":"2022-05-22T00:00:00Z","timestamp":1653177600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2022,5,22]],"date-time":"2022-05-22T00:00:00Z","timestamp":1653177600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp;amp; Obste"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To assess the effects of the implementation of a standardized voiding protocol in patients undergoing minimally invasive hysterectomy at a single cancer center in terms of the urinary tract infection (UTI) rate, time to first void, and overnight stays secondary to urinary retention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We enrolled 102 consecutive patients undergoing minimally invasive hysterectomy at a single cancer center during a 12\u2010month period. A pre\u2010intervention cohort of 100 consecutive patients was identified for comparison. A multidisciplinary team developed and implemented a standardized voiding protocol using quality improvement methodology. We compared the demographics, time to first void, rate of urinary retention, and UTI rates between the pre\u2010 and post\u2010intervention cohorts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Our intervention led to a significant reduction in the time to first void (289\u2009min vs. 566\u2009min;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u20090.001), rate of urinary retention (2% vs. 10%;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u20090.015), and postoperative UTI (4% vs. 8%;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u20090.249). There was a similar rate of patients going home with a Foley catheter (9% vs. 11%;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u20090.850).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Implementation of a standardized voiding protocol was associated with a reduction in rate of UTI, time to first void, and overnight stays secondary to urinary retention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.14239","type":"journal-article","created":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T09:53:00Z","timestamp":1651398780000},"page":"696-701","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Implementation of a standardized voiding protocol after minimally invasive surgery: A quality improvement initiative"],"prefix":"10.1002","volume":"159","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5694-5439","authenticated-orcid":false,"given":"Soyoun Rachel","family":"Kim","sequence":"first","affiliation":[{"name":"Division of Gynaecologic Oncology Princess Margaret Cancer Centre\/University Health Network\/Sinai Health System  Toronto Ontario Canada"},{"name":"Department of Obstetrics and Gynaecology University of Toronto  Toronto Ontario Canada"},{"name":"Translational Research Program, Department of Laboratory Medicine &amp; Pathobiology University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"St\u00e9phane","family":"Laframboise","sequence":"additional","affiliation":[{"name":"Division of Gynaecologic Oncology Princess Margaret Cancer Centre\/University Health Network\/Sinai Health System  Toronto Ontario Canada"},{"name":"Department of Obstetrics and Gynaecology University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregg","family":"Nelson","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology, Cumming School of Medicine University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stuart\u00a0A.","family":"McCluskey","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Pain Management, Toronto General Hospital University Health Network  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Avery","sequence":"additional","affiliation":[{"name":"Department of Biostatistics Princess Margaret Cancer Centre  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nastasia","family":"Kujbid","sequence":"additional","affiliation":[{"name":"Division of Gynaecologic Oncology Princess Margaret Cancer Centre\/University Health Network\/Sinai Health System  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aysha","family":"Zia","sequence":"additional","affiliation":[{"name":"Division of Gynaecologic Oncology Princess Margaret Cancer Centre\/University Health Network\/Sinai Health System  Toronto Ontario Canada"},{"name":"Department of Obstetrics and Gynaecology University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcus\u00a0Q.","family":"Bernardini","sequence":"additional","affiliation":[{"name":"Division of Gynaecologic Oncology Princess Margaret Cancer Centre\/University Health Network\/Sinai Health System  Toronto Ontario Canada"},{"name":"Department of Obstetrics and Gynaecology University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah E.","family":"Ferguson","sequence":"additional","affiliation":[{"name":"Division of Gynaecologic Oncology Princess Margaret Cancer 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Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulina","family":"Cybulska","sequence":"additional","affiliation":[{"name":"Division of Gynaecologic Oncology Princess Margaret Cancer Centre\/University Health Network\/Sinai Health System  Toronto Ontario Canada"},{"name":"Department of Obstetrics and Gynaecology University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Genevi\u00e8ve","family":"Bouchard\u2010Fortier","sequence":"additional","affiliation":[{"name":"Division of Gynaecologic Oncology Princess Margaret Cancer Centre\/University Health Network\/Sinai Health System  Toronto Ontario Canada"},{"name":"Department of Obstetrics and Gynaecology University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,5,22]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2354.2011.01283.x"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-008-0769-6"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S55383"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2021.0531"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2020.01.036"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1086\/651091"},{"issue":"1","key":"e_1_2_8_8_1","first-page":"15","article-title":"A\u2010voiding catastrophe: implementing a nurse\u2010driven protocol","volume":"23","author":"Mori C","year":"2014","journal-title":"Medsurg Nurs"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2020.07.002"},{"key":"e_1_2_8_10_1","volume-title":"R: 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