Early urethral catheter removal following radical prostatectomy

A pilot study

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

Objectives. Postoperative urethral catheter drainage after radical prostatectomy is bothersome to patients. A pilot study was initiated to determine if urethral catheter removal prior to hospital discharge is feasible. Methods. Thirty-three consecutive men undergoing radical retropubic prostatectomy were prospectively studied and followed for a minimum of 6 months (mean, 8.5). Postoperative cystography was utilized to direct early catheter removal. Results. Of 33 patients, 27 (82%) underwent successful catheter removal at a mean of 4.2 postoperative days. No patient experienced urinary retention, urinoma development, pelvic abscess, or anastomotic stricture. Urinary continence is excellent (no pads required) in 70% and good (stress incontinence requiring 1 to 2 pads/24 hours) in 18% of patients at last follow-up. Conclusions. Following radical prostatectomy, early catheter removal prior to hospital discharge is feasible. Early results suggest no deleterious consequences. Prospective monitoring of more patients is needed to determine if this practice is widely applicable.

Original languageEnglish
Pages (from-to)429-431
Number of pages3
JournalUrology
Volume46
Issue number3
DOIs
StatePublished - 1995

Fingerprint

Urinary Catheters
Prostatectomy
Catheters
Urinoma
Urinary Retention
Physiologic Monitoring
Abscess
Drainage
Pathologic Constriction

ASJC Scopus subject areas

  • Urology

Cite this

Early urethral catheter removal following radical prostatectomy : A pilot study. / Little, Samuel; Bihrle, Richard; Foster, Richard.

In: Urology, Vol. 46, No. 3, 1995, p. 429-431.

Research output: Contribution to journalArticle

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abstract = "Objectives. Postoperative urethral catheter drainage after radical prostatectomy is bothersome to patients. A pilot study was initiated to determine if urethral catheter removal prior to hospital discharge is feasible. Methods. Thirty-three consecutive men undergoing radical retropubic prostatectomy were prospectively studied and followed for a minimum of 6 months (mean, 8.5). Postoperative cystography was utilized to direct early catheter removal. Results. Of 33 patients, 27 (82{\%}) underwent successful catheter removal at a mean of 4.2 postoperative days. No patient experienced urinary retention, urinoma development, pelvic abscess, or anastomotic stricture. Urinary continence is excellent (no pads required) in 70{\%} and good (stress incontinence requiring 1 to 2 pads/24 hours) in 18{\%} of patients at last follow-up. Conclusions. Following radical prostatectomy, early catheter removal prior to hospital discharge is feasible. Early results suggest no deleterious consequences. Prospective monitoring of more patients is needed to determine if this practice is widely applicable.",
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