It is important to be well hydrated on the day of your trial of void. Drink at least two glasses of water prior to attending your appointment.
Constipation can affect your bladders ability to empty, if you are troubled by constipation please commence laxative (such a Movicol) at least one week prior to your appointment.
There is no requirement to fast. You should take all your regular medications.
Your IDC will be removed by the nurse or Dr Murray, this is simple and is rarely uncomfortable. You will then be asked to drink plenty of water to encourage urine production.
When you feel the need to pass urine please notify the receptionist. You will either be directed to pass urine into a nearby toilet, or the nurse will take you to the procedure room toilet and ask you to void into a measuring container.
After you pass urine a quick ultrasound scan will be conducted to measure the post void residual bladder volume.
For a successful trial of void, you will need to be passing adequate amounts of urine comfortably with low and/or decreasing post void residual bladder volumes. At least two, occasionally more, voids are required to ensure adequate voiding.
If you do not pass adequate volumes, are uncomfortable and the post void residual bladder volume is rising then an IDC will be re-inserted.
Arrangement will be made with Dr Murray for ongoing follow up or further management if required.
You may experience discomfort when passing urine following IDC removal, this should settle within 24 hours. You make take Ural sachets to help with this.
Occasionally you may see blood in the urine after a period of catheterisation and/or surgery. This should settle in the days following IDC removal. Please maintain adequate hydration.
If you develop lower abdominal pain and difficulties passing urine it may indicate recurrent problems with bladder emptying. You may require IDC re-insertion. Please contact the rooms if inside business hours (0830 to 1630) or attend to your local emergency department.
A trial of void is a minor procedure and complications are rare. Risks and complications include but are not limited to:
1. Failed trial of void requiring IDC re-insertion
2. Haematuria (blood in the urine)
3. Dysuria (stinging sensation when voiding)
4. Urinary tract infection