Superior early and long-term continence following early micturition on day 2 after robot-assisted radical prostatectomy : A randomized prospective trial
| Autor: | Nikolaos Liakos, Jorn H Witt, Nina Harke, Katarina Urbanova, Boris Hadaschik, Mustapha Addali, Christian Wagner |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Nephrology
medicine.medical_specialty business.industry Prostatectomy Urology media_common.quotation_subject medicine.medical_treatment 030232 urology & nephrology Medizin Urination Surgery 03 medical and health sciences Catheter 0302 clinical medicine Prospective trial 030220 oncology & carcinogenesis Internal medicine medicine Robotic surgery Catheter removal business media_common Patient comfort |
| Popis: | To elucidate early and long-term continence and patient comfort depending on type and duration of catheterization after robot-assisted radical prostatectomy. 198 patients were randomized prospectively into three groups (May 2016–July 2017): A transurethral catheter with micturition on postoperative day (POD) 5 was placed in the control group (TD5); a suprapubic tube (SPT) with micturition on POD 5 was placed in the group SD5 or with micturition on POD 2 in group SD2, respectively. Questionnaires were used for catheter-related satisfaction. Functional outcome analysis included residual volume analysis, uroflowmetry, IPSS, 12-h pad test, and daily pad use. Follow-up was conducted up to 12 months. Postoperative comfort and catheter-related complications were similar in the three groups. However, on the day of catheter removal, continence was significantly better in the 12-h pad test for the SD2 group with 14 ml vs. 30 ml (TD5) and 24 ml (SD5), p = 0.007. Median residual urine volume between the groups was comparable with 17 ml in TD5, 7 ml in SD5, and 11 ml in SD2, (p = 0.07). Postoperative IPSS did not differ significantly in the follow-up period. After 4 weeks, 63% of the patients in SD2 were continent (no pad/day) compared to 33% in TD5 and 41% in SD5, p = 0.004. After 12 months, 76% were continent in TD5, 87% in SD5, and 94% in SD2, p = 0.023. Early micturition after SPT placement in robotic radical prostatectomy seems to be beneficial without an increased risk of complications. |
| Databáze: | OpenAIRE |
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