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Prog Urol. 2011 Jul;21(7):470-2. doi: 10.1016/j.purol.2010.10.002. Epub 2011 Jan 7.

[Radical retropubic prostatectomy (RRP) without postoperative bladder catheter: study about 14 cases].

[Article in French]

Author information

1
Service d'urologie-transplantation, CHU Hôpital-Sud, université Picardie-Jules-Verne, avenue R.-Laënnec, Salouël, 80054 Amiens cedex 1, France. nicosurga@live.fr

Abstract

OBJECTIVES:

To report the feasibility of radical retropubic prostatectomy (RRP) without postoperative bladder catheter.

MATERIAL & METHODS:

We report our experience in 14 patients (mean age 62 [48-75]) who underwent radical retropubic prostatectomy for localised prostatic adenocarcinoma from May 2006 to January 2010. The surgical technique was performed as classically described, without bladder neck preservation (tennis-racket closure), with or without nerve sparing (JP). The criteria that led us not to drain were the satisfactory urethral length, a tension-free anastomosis performed on a bladder catheter with separate sutures, and a lack of anastomotic leack after bladder filling with 200cc.

RESULTS:

The mean hospital stay was 4 days (3-8). Ten patients (71.4%) needed intermittent bladder catherism four times (1-11) before starting micturitions, without any technical difficulties. No anastomic leack was reported. Nine patients (64.3%) were continent leaving the hospital. With a mean follow-up of 30 months (5-48), all of 14 patients (100%) were perfectly continent. No anastomotic stricture was reported.

CONCLUSION:

RRP without postoperative bladder catheter was feasible, with no other early or late complication associated. Early and late continence were perfect (100% at 2 years).

PMID:
21693358
DOI:
10.1016/j.purol.2010.10.002
[Indexed for MEDLINE]

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