Neither α-blocker therapy nor cystography is required before early catheter removal after radical prostatectomy

Alan M. Nieder, Murugesan Manoharan, Sandy S. Kim, Mark S Soloway

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

OBJECTIVE: To evaluate the success of early catheter removal from men after radical retropubic prostatectomy (RRP) without using either cystography or giving an α-blocker. PATIENTS AND METHODS: We retrospectively analysed 156 consecutive patients who had RRPs between June 2003 and May 2004 to determine the incidence of urinary retention after early catheter removal, with no cystogram or using an α-blocker. RESULTS: The mean age of the men was 60 years and 99% were clinical stage T1 or T2; 74% had their catheters removed 8 days after RRP. The incidence of urinary retention was 1.3%, and of haematuria requiring catheter replacement 2.6%. Two patients (1.3%) developed a bladder neck contracture. CONCLUSIONS: In the present study removing an indwelling catheter 1 week after RRP was safe, with a minimal risk of urinary retention or bladder neck contracture. The addition of an α-blocker is unlikely to reduce the already low incidence of urinary retention.

Original languageEnglish (US)
Pages (from-to)323-325
Number of pages3
JournalBJU International
Volume95
Issue number3
DOIs
StatePublished - Feb 2005

Keywords

  • Catheter removal
  • Prostate cancer
  • Radical prostatectomy

ASJC Scopus subject areas

  • Urology

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