Transurethral versus suprapubic catheter at robot-assisted radical prostatectomy: a prospective randomized trial with 1-year follow-up

World Journal of Urology
A MartinschekL Trojan

Abstract

To evaluate urethral catheter (UC) versus suprapubic tube (SPT) without stenting the anastomosis at robot-assisted radical prostatectomy (RALP) regarding surgical outcome and catheter-associated discomfort. One year after surgery, continence and patient satisfaction were evaluated. Sixty-two patients undergoing RALP were prospectively randomized to urinary drainage with UC or with SPT. Functional results were assessed with standardized questionnaires (IPSS, IPSS Bother Score, IIEF and Visual Analogue Scale) preoperatively, after catheter removal and 1 year after surgery. Moreover, bother by the catheter as well as pain due to the catheter was assessed. At personal hygiene, SPT was significantly less bothersome on the day of surgery as well as POD 1-6. Pain caused by the catheter did not differ significantly between the two groups except for POD 5 and 6, when the SPT performed significantly better. Differences regarding voiding parameters after catheter removal did not reach statistical significance. One year after surgery, no significant difference between the two groups was found regarding urinary function and IPSS. Though not statistically significant either, the need for the incision of bladder neck contracture (BNC) in two ...Continue Reading

References

Oct 1, 1990·European Journal of Vascular Surgery·M D DinneenA R May
Mar 13, 2012·International Journal of Urology : Official Journal of the Japanese Urological Association·Seiichi OrikasaSeiichi Kurosu

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Citations

May 31, 2019·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Antonio GalfanoAldo M Bocciardi
Jul 2, 2021·Anaesthesia Critical Care & Pain Medicine·Adrien LemoineUNKNOWN PROSPECT Working Group Of The European Society Of Regional Anaesthesia And Pain Therapy (ESRA)

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