[The revival of "uroscopy": an easy way to evaluate the anastomotic region after radical retropubic prostatectomy].

Der Urologe. Ausg. A
M SchenckT Jaeger

Abstract

The cystogram after retropubic radical prostatovesiculectomy (RRP) examines the condition of the anastomosis region. There is no clear temporal recommendation for the determination of urine extravasation in cases of early removal of the catheter. This study investigates the macroscopic and microscopic examination of the bladder catheter urine after RRP. The catheter urine of 110 patients after RRP was macroscopically and microscopically examined and compared with the results of transrectal ultrasound and cystogram with regard to urine extravasation. The examination of cloudy or bloody catheter urine indicated an extravasation in 32 of 33 cases (positive predictive value 97%; sensitivity 74%), for clear urine, there was sufficient anastomosis in 66 of 77 cases without any extravasation (negative predictive value 86%; specificity 99%). By performing a microscopic urine analysis unremarkable anastomosis was predicted only in 23 of 67 cases, which leads to a specificity of 34%. This shows that microscopic urine sediment is an inappropriate instrument to evaluate the anastomotic region. In cases of macroscopic pathological urine findings, further diagnostics are not recommended; in 97% of the cases, extravasation is expected. The ma...Continue Reading

References

Mar 1, 1990·The Journal of Urology·W J Catalona, S W Bigg
Nov 17, 1998·The Journal of Urology·P C Walsh
Jan 27, 2000·The Journal of Urology·B Guillonneau, G Vallancien
Oct 5, 2001·The Journal of Urology·A NaduC C Abbou
Jul 10, 2003·Infectious Disease Clinics of North America·Sanjay Saint, Carol E Chenoweth
Sep 22, 2005·ANZ Journal of Surgery·Joseph J Ischia, Stephen Lindsay
Apr 12, 2006·World Journal of Urology·Ketan K BadaniMani Menon
Nov 1, 2006·European Urology·Thomas M KesslerUrs E Studer
Jan 2, 2007·European Urology·Christian Barré
Sep 25, 2007·European Urology·Mark SchraderMartin Schostak

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bladder Carcinoma In Situ

Bladder Carcinoma In Situ is a superficial bladder cancer that occurs on the surface layer of the bladder. Discover the latest research on this precancerous condition in this feed.