Catheter-less robotic radical prostatectomy using a custom-made synchronous anastomotic splint and vesical urinary diversion device: report of the initial series and perioperative outcomes

BJU International
Ashutosh TewariAnil Mandhani

Abstract

To study the feasibility of avoiding a urethral catheter after robotic radical prostatectomy by using suprapubic diversion with a urethral splint, as urethral catheterization is often a source of major discomfort and pain to the patient, and can cause more concern to the patient than the procedure; we present the outcomes of a pilot study. This pilot study involved 30 patients; in group 1 (the study group of 10 patients) we used a custom-made suprapubic catheter which provided a small anastomotic splint, multiple holes for drainage and the ability to retract the splint to give a voiding trial before removing the drainage device. Group 2 was a control group of 20 patients who had standard urethral catheterization with an 18 F Silastic Foley catheter. Demographic, intraoperative and outcome data were measured and analysed. Urethral symptoms were recorded using a specially developed questionnaire. The two groups were comparable in terms of age, serum prostate specific antigen level, body mass index, Gleason scores, tumour stage, operative duration, amount of bleeding, console times, anastomotic leakage and postoperative retention rates. The study group had significantly less penile shaft or tip pain and discomfort during walking o...Continue Reading

References

Oct 1, 1990·European Journal of Vascular Surgery·M D DinneenA R May
Jan 1, 1985·Acta Obstetricia Et Gynecologica Scandinavica·J T AndersenN C Nielsen
Feb 25, 2000·The Journal of Urology·C A SoutoH Y Ting
Aug 27, 2002·Diseases of the Colon and Rectum·Graham W Branagan, Brendan J Moran
Nov 14, 2006·European Urology·Mani MenonJames O Peabody
Apr 18, 2007·BJU International·Vipul R PatelKetul Shah
Mar 7, 2008·BJU International·Ashutosh TewariDarracott Vaughan

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Citations

Dec 4, 2008·Asian Journal of Andrology·Prokar Dasgupta, Roger S Kirby
Feb 1, 2011·Annales Françaises D'anesthèsie Et De Rèanimation·M BinhasJ Marty
Aug 20, 2014·Journal of Huazhong University of Science and Technology. Medical Sciences = Hua Zhong Ke Ji Da Xue Xue Bao. Yi Xue Ying De Wen Ban = Huazhong Keji Daxue Xuebao. Yixue Yingdewen Ban·Cong LiFan Yang
Oct 13, 2014·The Urologic Clinics of North America·Akshay SoodMani Menon
Jun 16, 2012·The Journal of Urology·Stavros I TyritzisConstantinos A Constantinides
May 1, 2009·European Urology·Mani MenonPiyush K Agarwal
Mar 13, 2012·International Journal of Urology : Official Journal of the Japanese Urological Association·Seiichi OrikasaSeiichi Kurosu
Mar 17, 2010·BJU International·Wim Van Haute, Prokar Dasgupta
Aug 3, 2013·International Journal of Urology : Official Journal of the Japanese Urological Association·In Gab JeongChoung-Soo Kim
Dec 12, 2013·Prostate Cancer·Emma F P JacobsTimothy A Masterson
Jan 25, 2012·Nature Reviews. Urology·Harveer S DevAshutosh K Tewari
May 31, 2019·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Antonio GalfanoAldo M Bocciardi
Mar 1, 2012·Arab Journal of Urology·Sameer ChopraAshutosh Tewari

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