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MINERVA UROLOGICA E NEFROLOGICA

A Journal on Nephrology and Urology


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Minerva Urologica e Nefrologica 2018 Mar 28

DOI: 10.23736/S0393-2249.18.03068-0

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: English

Time of catheterization is an independent predictor of immediate and early urinary continence recovery after radical prostatectomy

Marta ROSSANESE 1, 2, Alessandro CRESTANI 1, Vito PALUMBO 1, 3, Gianluca GIANNARINI 1, Antonino INFERRERA 4, Giacomo NOVARA 3, Claudio VALOTTO 1, Vincenzo FICARRA 1, 4

1 Academic Medical Centre Hospital Santa Maria della Misericordia, Udine, Italy; 2 Department of Urology, University of Catania, Catania, Italy; 3 Urologic Unit, Department of Oncologic, Surgical and Gastrointestinal Sciences, University of Padua, Padua, Italy; 4 Urologic Section, Department of Human and Pediatric Pathology, University of Messina, Messina, Italy


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BACKGROUND: The purpose of the present study was to investigate the potential impact of catheter removal time on immediate and early urinary continence recovery in a series of patients who underwent Radical Prostatectomy (RP).
METHODS: We prospectively collected and analyzed the clinical records of 197 patients who underwent open RP between January 2014 and December 2016. A single surgeon using the urethral fixation technique performed all procedures. Patients receiving surgery between Monday and Wednesday performed a cystogram on POD 2. Conversely, other cases treated on Thursday or Friday performed a cystogram the next Monday (POD 3 or 4). The catheter removal was planned the day after the cystogram if there was a watertight anastomosis or with a little extravasation (<5%). Urinary continence recovery was evaluated 1 week, 1, 2 and 3 months after catheter removal. Patients self-reporting no urine leak were considered continent. Logistic regression analysis was used to identify independent predictors of urinary continence recovery at different follow-up durations.
RESULTS: The median catheterization time was 3 (IQR 3-4.2) days and acute urinary retention (AUR) was observed in 13 (6.5%) cases. At median follow-up of 12 (IQR 9-12) months, no case of bladder neck contracture was observed. Urinary continence probabilities were 43%, 63%, 87%, 91% and 95% after 1 week, 1, 3, 6 and 12-mo, respectively. On multivariable analyses, time of catheter removal was an independent predictor of urinary continence recovery after 1 week (OR 1.2; p=0.02); 1 month (OR 1.2; p=0.01); 3 months (OR 1.1; p=0.04) and 6 months (OR 1.1; p=0.03) after catheter removal.
CONCLUSIONS: Time of catheterization should be considered as a postoperative parameter able to influence the immediate and early urinary continence recovery in patients undergoing RP. The impact of new surgical techniques on urinary continence recovery should be tested also considering such potential confounding factor.


KEY WORDS: Transurethral catheter - Radical prostatectomy - Urinary continence - Prostate cancer

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Publication History

Article first published online: March 28, 2018
Manuscript accepted: March 12, 2018
Manuscript revised: January 30, 2018
Manuscript received: October 12, 2017

Cite this article as

Rossanese M, Crestani A, Palumbo V, Giannarini G, Inferrera A, Novara G, et al. Time of catheterization is an independent predictor of immediate and early urinary continence recovery after radical prostatectomy. Minerva Urol Nefrol 2018 Mar 28. DOI: 10.23736/S0393-2249.18.03068-0

Corresponding author e-mail

vficarra@unime.it