Duration of urethral catheterization after urethroplasty: how long is enough?

Autor:	Poelaert F; Department of Urology, Ghent University Hospital, Ghent, Belgium - filip.poelaert@uzgent.be., Oosterlinck W; Department of Urology, Ghent University Hospital, Ghent, Belgium., Spinoit AF; Department of Urology, Ghent University Hospital, Ghent, Belgium., Lumen N; Department of Urology, Ghent University Hospital, Ghent, Belgium.
Jazyk:	angličtina
Zdroj:	Minerva urologica e nefrologica = The Italian journal of urology and nephrology [Minerva Urol Nefrol] 2017 Aug; Vol. 69 (4), pp. 372-376. Date of Electronic Publication: 2016 Apr 20.
DOI:	10.23736/S0393-2249.16.02639-4
Abstrakt:	Background: To report the impact of duration of urethral catheterization (DUC) on the rate of extravasation on voiding cysto-urethrography (VCUG) and the subsequent need of catheter replacement in urethroplasty. Methods: Two hundred nineteen consecutive patients undergoing urethroplasty between October 2010 and November 2014 were evaluated for the impact of DUC. Patients were divided into 2 groups, based on the scheduled DUC≤10 days (group 1, N.=86) or >10 days (group 2, N.=133). Results: Fourteen patients (6.4%) had extravasation on VCUG with an additional period of catheter usage. In 10 of the 14 patients (71.4%) clinical signs of impaired wound healing were present. In group 1 (median DUC 8 days) 3 patients (3.5%) needed an additional period of urethral catheterization, compared to 11 patients (8.3%) in group 2 (median DUC 14 days). Strictures in group 2 were longer (4 vs. 2 cm, P<0.001) and more complex. Redo urethroplasty was needed in 9 of the 14 patients with extravasation. Conclusions: In uncomplicated cases of urethroplasty, the urethral catheter can be safely removed after 8 to 10 days postoperatively. Extravasation on VCUG occurs in around 6% of urethroplasties and is a prognostic factor for stricture recurrence and reoperation.
Databáze:	MEDLINE
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