Transurethral versus suprapubic catheter at robot-assisted radical prostatectomy: a prospective randomized trial with 1-year follow-up

Martinschek, A.; Pfalzgraf, Daniel; Rafail, B.; Ritter, Manuel; Heinrich, Elmar; Trojan, Lutz

doi:10.1007/s00345-015-1678-1

Cited by 22 publications

(29 citation statements)

References 11 publications

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“…Our study demonstrated that there was no significant difference between the UC and ST group on postoperative pain at POD 7. The other three RCT studies showed similar result too [ 8 , 11 , 12 ]. Prasad et al stated that the most severe discomfort of catheter was experienced in the evening on surgery day due to bladder spasms induced by the presence of foreign body.…”

Section: Discussionsupporting

confidence: 61%

“…The characteristics of the included studies were shown in Table 1 . Among these studies, three were RCTs reaching the level of evidence 1b [ 8 , 11 , 12 ]. One cohort, non- randomized study reached the level of evidence 2b [ 6 ].…”

Section: Resultsmentioning

confidence: 99%

“…A total of six studies reported postoperative pain at postoperative Day (POD) 6 [ 7 , 11 , 12 ] or POD 7 [ 6 , 8 , 10 ]. We divided the patients into two groups (with pain and without pain).…”

Section: Resultsmentioning

confidence: 99%

“…Four studies reported postoperative pain at POD 1 [ 8 , 11 , 12 ] or POD 2. [ 7 ] Meta-analysis of the first three RCTs (280 patients) showed that ST group had not significantly decreased pain at POD 1 compared to the UC group (WMD 0.06; 95% CI -0.47, 0.59; P 0.79) (Fig.…”

Section: Resultsmentioning

confidence: 99%

“…Three RCT studies used visual analog scale (VAS) to evaluate the postoperative pain [ 8 , 11 , 12 ]. Meta-analysis of these three studies revealed no significant difference between the UC and ST group (WMD 0.06; 95% CI -0.39, 0.52; P 0.79) regarding the postoperative pain.…”

Section: Resultsmentioning

confidence: 99%

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Suprapubic tube versus urethral catheter drainage after robot-assisted radical prostatectomy: a systematic review and meta-analysis

et al. 2018

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BackgroundProstate cancer is one of the most common cancers in the elderly population. The standard treatment is radical prostatectomy (RARP). However, urologists do not have consents on the postoperative urine drainage management (suprapubic tube (ST)/ urethral catheter (UC)). Thus, we try to compare ST drainage to UC drainage after robot-assisted radical prostatectomy regarding to comfort, recovery rate and continence using the method of meta-analysis.MethodsA systematic search was performed in Dec. 2017 on PubMed, Medline, Embase and Cochrane Library databases. The authors independently reviewed the records to identify studies comparing ST with UC of patients underwent RARP. Meta-analysis was performed using the extracted data from the selected studies.ResultsSeven studies, including 3 RCTs, with a total of 946 patients met the inclusion criteria and were included in our meta-analysis. Though there was no significant difference between the ST group and the UC group on postoperative pain (RR1.73, P 0.20), our study showed a significant improvement on bother or discomfort, defined as trouble in hygiene and sleep, caused by catheter when compared two groups at postoperative day (POD) 7 in ST group (RR2.05, P 0.006). There was no significant difference between the ST group and UC group on urinary continence (RR0.98, P 0.74) and emergency department visit (RR0.61, P 0.11). The rates of bladder neck contracture and other complications were very low in both groups.ConclusionCompared to UC, ST showed a weak advantage. So it might be a good choice to choose ST over RARP.

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Section: Discussionsupporting

confidence: 61%