MP15-16 VERY EARLY CATHETER REMOVAL ON POSTOPERATIVE DAY 2 AFTER ROBOT-ASSISTED RADICAL PROSTATECTOMY: REPORTING ON EARLY COMPLICATIONS AND FUNCTIONAL RESULTS

Abstract

You have accessJournal of UrologyProstate Cancer: Localized: Surgical Therapy I (MP15)1 Sep 2021MP15-16 VERY EARLY CATHETER REMOVAL ON POSTOPERATIVE DAY 2 AFTER ROBOT-ASSISTED RADICAL PROSTATECTOMY: REPORTING ON EARLY COMPLICATIONS AND FUNCTIONAL RESULTS Dries Develtere, Giuseppe Rosiello, Pietro Piazza, Abhishek Pandey, Camille Berquin, Sinatti Celine, Hannah Van Puyvelde, Stefano Puliatti, Marco Amato, Rui Farhina, Elisabeth Pauwels, Ruben De Groote, Peter Schatteman, Geert De Naeyer, Frederiek D'Hondt, and Alexandre Mottrie Dries Develtere Dries Develtere More articles by this author , Giuseppe RosielloGiuseppe Rosiello More articles by this author , Pietro PiazzaPietro Piazza More articles by this author , Abhishek PandeyAbhishek Pandey More articles by this author , Camille BerquinCamille Berquin More articles by this author , Sinatti CelineSinatti Celine More articles by this author , Hannah Van PuyveldeHannah Van Puyvelde More articles by this author , Stefano PuliattiStefano Puliatti More articles by this author , Marco AmatoMarco Amato More articles by this author , Rui FarhinaRui Farhina More articles by this author , Elisabeth PauwelsElisabeth Pauwels More articles by this author , Ruben De GrooteRuben De Groote More articles by this author , Peter SchattemanPeter Schatteman More articles by this author , Geert De NaeyerGeert De Naeyer More articles by this author , Frederiek D'HondtFrederiek D'Hondt More articles by this author , and Alexandre MottrieAlexandre Mottrie More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000001996.16AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Presence of an indwelling urinary catheter following robot-assisted radical prostatectomy (RARP) is reported as a significant bother. Moreover, it’s presence can lead to several catheter-related issues, with a significant burden on patients’ life. The current study aims to evaluate the feasibility of postoperative day (POD 2) catheter removal after RARP and to assess its impact on short- and long-term urinary continence (UC). METHODS: Patient characteristics and perioperative data were prospectively collected for 402 consecutive patients treated with RARP ± pelvic lymph node dissection (PLND) between January 2018 and July 2019. After exclusion, (locally advanced prostate cancer, missing follow-up data) final population consisted of 369 patients. Postoperative complications and UC were retrospectively analyzed. Ethical committee approval has been obtained. RESULTS: 255 (70%) patients underwent catheter removal on POD 2. 65 (25%) received PLND. 1 patient experienced a major postoperative complication [Clavien Dindo Classification (CDC) > IIIa]. 33 (12.9%) required re-catheterization due to acute urinary retention (AUR) after catheter removal (CDC I). 5 (2%) patients required re-catheterization due to AUR combined with anastomotic leakage. After a median follow-up of 18 months [Interquartile range (IQR) 13-24] 236 (93%) patients recovered UC. Early UC rate was 67% and median time to UC recovery was 1 month (IQR: 0-4). No anastomotic strictures were recorded. Age at surgery (p=0.1), prostate volume (p=0.6), and voiding LUTS (p=0.2) were not associated with the risk of retention after POD 2 catheter removal. CONCLUSIONS: Indwelling catheter removal on POD 2 after RARP is a safe option in patients with localized PCa, with acceptable rates of AUR and anastomotic leakage, and without impact on short- and long-term functional outcomes . Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e270-e270 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Dries Develtere More articles by this author Giuseppe Rosiello More articles by this author Pietro Piazza More articles by this author Abhishek Pandey More articles by this author Camille Berquin More articles by this author Sinatti Celine More articles by this author Hannah Van Puyvelde More articles by this author Stefano Puliatti More articles by this author Marco Amato More articles by this author Rui Farhina More articles by this author Elisabeth Pauwels More articles by this author Ruben De Groote More articles by this author Peter Schatteman More articles by this author Geert De Naeyer More articles by this author Frederiek D'Hondt More articles by this author Alexandre Mottrie More articles by this author Expand All Advertisement Loading ...