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
Mar 18, 2003·Urology·Andrs HoznekC lment-Claude Abbou
Mar 31, 2004·BJU International·M MenonA Bhandari
Aug 2, 2006·BJU International·Ashutosh TewariE Darracott Vaughan
Nov 14, 2006·European Urology·Mani MenonJames O Peabody
Jan 16, 2007·European Urology·Mutlu AtesJens Rassweiler
Apr 18, 2007·BJU International·Vipul R PatelKetul Shah
Apr 21, 2007·Urology·Ashutosh K TewariE D Vaughan
Nov 7, 2007·European Urology·Imre Romics
Feb 12, 2008·BJU International·Ashutosh TewariGeorg Bartsch
Mar 7, 2008·BJU International·Ashutosh TewariDarracott Vaughan
Citations
Dec 4, 2008·Asian Journal of Andrology·Prokar Dasgupta, Roger S Kirby
Nov 18, 2009·Journal of Endourology·Youssef El DouaihyAshutosh K Tewari
Dec 13, 2012·Journal of Endourology·Ashutosh K TewariMaria M Shevchuck
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
Oct 17, 2015·Journal of Endourology·Monica S C MorganJeffrey A Cadeddu
Sep 5, 2015·World Journal of Urology·A MartinschekL Trojan
Jun 16, 2012·The Journal of Urology·Stavros I TyritzisConstantinos A Constantinides
Apr 28, 2009·European Urology·Louis Spencer KraneMani Menon
Apr 28, 2009·European Urology·Vincenzo Ficarra, Walter Artibani
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
Dec 20, 2011·BJU International·Jesse D SammonMani Menon
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
Jul 21, 2015·Urology·Muhammad Zubair AfzalBrian R Lane
Mar 19, 2013·Scandinavian Journal of Urology·Jarno RiikonenTeuvo L Tammela
Jan 21, 2014·The Journal of Urology·Sandip M PrasadGregory P Zagaja
Jun 24, 2016·World Journal of Urology·Nina HarkeJorn H Witt
Mar 31, 2018·World Journal of Urology·Riccardo BertoloRiccardo Autorino
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
Jun 9, 2020·Current Urology Reports·Leilei XiaDaniel J Lee
Jan 7, 2018·BMC Urology·Zhongyu JianKunjie Wang
Mar 1, 2012·Arab Journal of Urology·Sameer ChopraAshutosh Tewari
Jan 15, 2019·Investigative and Clinical Urology·Ahmed S ZugailJacques Irani
Feb 28, 2021·World Journal of Urology·Ding XuYe Lei