An interventional study of Bladder flap in Cesarean Section, sponsored by Kanuni Sultan Suleyman Training and Research Hospital. Completed at 1 site in Turkey (Türkiye). Open to female participants aged 18 Years to 40 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2016-12-01.
Sponsored by Kanuni Sultan Suleyman Training and Research Hospital · Not applicable, Interventional, and Treatment
Cesarean section is the most common surgical procedure performed on women. Over the years minor variations of each surgical step have been introduced, and cesarean sections are not standardized and many different techniques are employed during surgery. Creation of a bladder flap has been an integral surgical step of the cesarean section for many years. The role of the bladder flap and its usefulness in cesarean section is not known well. Further, in some cases the bladder flap is omitted during cesarean section. The aim of the current study is to compare operating time and postoperative urinary symptoms in cesarean sections using either bladder flap or omission of flap.
Cesarean section is the most common surgical procedure performed on women. The main aspects of the surgical approach to low-transverse cesarean delivery have not changed much since1926. Over the years minor variations of each surgical step have been introduced, and cesarean sections are not standardized and many different techniques are employed during surgery. Creation of a bladder flap has been an integral surgical step of the cesarean section for many years. The evidence on the role of the bladder flap and its usefulness in cesarean section is very limited. In emergent cesarean sections where rapid delivery is the main goal, the bladder flap is usually omitted. Literature about the usefulness of a bladder flap is limited and more randomized studies are needed. Most of the study outcomes were focusing operating time however, the investigator in the current study additional focused on postoperative urinary symptoms and dynamics. The aim of the current study is to compare operating time and postoperative urinary symptoms in cesarean sections using either bladder flap or omission of flap.
240 studies on the registry are indexed under Urinary Retention; 39 are open to participants now.
This study's enrollment of 201 is above the median of 96 across 188 interventional studies indexed under Urinary Retention.
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Exclusion Criteria:
Routine uterine incision performed during cesarean section without incision and dissection of the bladder peritoneum.
Routine uterine incision performed during cesarean section with an incision and a dissection of a bladder flap.
Procedure: Bladder flap
Performing uterine incision and cesarean section with a bladder flap.
Total operation time
Total operation time from skin incision to the end of operation
Time frame: 1 hour
Estimated blood loss
Estimated blood loss during surgery will be measured in terms of mL
Time frame: 1 hour
Bladder injury
Bladder injury during cesarean section will be assessed by the number and percentage of patients who had injury
Time frame: up to 48 hour
Urinary retention
Postoperative urinary retention will be measured by number and percentage of patients who develop this complication
Time frame: up to 48 hour
Plan to share: No
This study is completed, as verified in Nov 2016. You cannot join it, but the record below documents what was studied.
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