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MINERVA UROLOGICA E NEFROLOGICA

Rivista di Nefrologia e Urologia


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Minerva Urologica e Nefrologica 2017 August;69(4):372-6

DOI: 10.23736/S0393-2249.16.02639-4

Copyright © 2016 EDIZIONI MINERVA MEDICA

lingua: Inglese

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

Filip POELAERT , Willem OOSTERLINCK, Anne-Françoise SPINOIT, Nicolaas LUMEN

Department of Urology, Ghent University Hospital, Ghent, Belgium


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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.


KEY WORDS: Urinary catheterization - Urethral stricture - Reconstructive surgical procedure

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Publication History

Issue published online: June 9, 2017
Article first published online: April 20, 2016
Manuscript accepted: April 19, 2016
Manuscript revised: March 31, 2016
Manuscript received: Janaury 6, 2016

Per citare questo articolo

Poelaert F, Oosterlinck W, Spinoit AF, Lumen N. Duration of urethral catheterization after urethroplasty: how long is enough? Minerva Urol Nefrol 2017;69:372-6. DOI: 10.23736/S0393-2249.16.02639-4

Corresponding author e-mail

filip.poelaert@uzgent.be