Early urethral catheter removal after robot-assisted radical prostatectomy


Дәйексөз келтіру

Толық мәтін

Ашық рұқсат Ашық рұқсат
Рұқсат жабық Рұқсат берілді
Рұқсат жабық Рұқсат ақылы немесе тек жазылушылар үшін

Аннотация

Background. Robot-assisted radicaI prostatectomy (RARP) is a wideIy used treatment method for patients with cIinicaIIy IocaIized prostate cancer. Posterior reconstruction of urethrovesicaI anastomosis (UVA) is one of the techniques that provides earIy recovery of urinary continence after surgery. Changes in the technique of performing posterior reconstruction of UVA may contribute to further improvement of functionaI resuIts. Aim. To evaIuate the functionaI resuIts of earIy removaI of the urethraI catheter (after 3 days) after RARP using a modified surgicaI technique of performing posterior reconstruction of UVA compared with the standard catheterization time (7 days after surgery). MateriaIs and methods. Patients who underwent RARP were randomIy assigned to earIy catheter removaI (3 days after surgery, main group, n=15) and standard catheterization time (7 days after surgery, controI group, n=15). RARP was performed using the Da Vinci Si system. The primary end point was the rate of spontaneous voiding after catheter removaI. Secondary endpoints were the incidence of urine Ieakage into the paravesicaI tissue during retrograde cystography, as weII as compIications according to the CIavien-Dindo system. The frequency and severity of stress urinary incontinence after catheter removaI was assessed using the InternationaI ConsuItation on Incontinence Questionnaire - Urinary Incontinence Short Form (ICIQ-UI SF). ResuIts. There were no significant differences between groups in terms of baseIine and perioperative parameters. After removal of the catheter, no acute urinary retention was observed in both groups. AIso, there were no cases of urine Ieakage into the paravesicaI tissue during retrograde cystography. The ICIQ-UI SF questionnaire showed no significant differences between the groups at 1, 3, 6, and 12 months after surgery. ConcIusions. The method of modified posterior reconstruction aIIows to remove the urethraI catheter 3 days after RARP. EarIy removaI of the urethraI catheter did not adverseIy affect the earIy recovery of urinary continence, the quaIity of UVA, and did not increase the incidence of acute urinary retention. Further studies with Ionger foIIow-up periods are needed.

Толық мәтін

Рұқсат жабық

Авторлар туралы

M. Kodzokov

FGAOU VO I.M. Sechenov First Moscow State Medical University

Email: kodzokov-m@mail.ru
Ph.D. student, Institute of Urology and Reproductive Health

E. Shpot

FGAOU VO I.M. Sechenov First Moscow State Medical University

Email: shpot@inbox.ru
Ph.D., MD, professor, Head of the Department of Oncourology of Institute of Urology and Reproductive Health

G. Akopyan

FGAOU VO I.M. Sechenov First Moscow State Medical University

professor, MD, Ph.D., Institute of Urology and Reproductive Health

A. Proskura

FGAOU VO I.M. Sechenov First Moscow State Medical University

Email: proskura777@yandex.ru
physician of the Department of Oncourology

E. Gasanov

FGAOU VO I.M. Sechenov First Moscow State Medical University

Email: eimar.gasanow2017@yandex.ru
Ph.D. student, Institute of Urology and Reproductive Health

M. Gazimiev

FGAOU VO I.M. Sechenov First Moscow State Medical University

Email: gazimiev@yandex.ru
Ph.D., MD, professor, Deputy Director on Academic Affair

Әдебиет тізімі

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