Comparison of early and late removal of the urinary catheter after rectal cancer surgery.
Cir Cir
; 92(2): 189-193, 2024.
Article
em En
| MEDLINE
| ID: mdl-38782384
ABSTRACT
OBJECTIVE:
This study is aiming to compare the results of early and late removal of urinary catheters after rectal cancer surgery. MATERIALS ANDMETHODS:
Patients who undergone rectal cancer surgery in a single center were included in this prospective randomized study. The timing of the urinary catheter removal was randomized by a computer-assisted program and divided into 2 groups, which are early (first 48 h) and late (after 48 h). The primary outcome of this study was to compare the urinary retention and re-catheterization rates between patients with early and those with late catheter removal.RESULTS:
Sixty-six patients were included in this study. The median age was 60 (31-88 years), and the patient group was predominantly male (n 40, 60.9%). Urinary retention after catheter removal developed in 8 (12%) of 66 patients. There was no difference between the two groups in terms of the need for re-catheterization (14% vs. 10%, p 0.63). All the patients who required re-catheterization (n 8) and were discharged with a urinary catheter (n 4) were male. When the male and female patients were evaluated separately, there was no difference in urinary retention in the early or late groups.CONCLUSIONS:
Early or late removal of the catheter does not play a role in the development of urinary retention in patients undergoing rectal cancer surgery.RESUMEN
OBJETIVO:
Comparar los resultados de la retirada precoz y tardía de la sonda urinaria tras la cirugía de cáncer rectal.MÉTODO:
Estudio prospectivo aleatorizado que incluyó pacientes sometidos a cirugía de cáncer rectal en un único centro. El momento de la retirada de la sonda urinaria se aleatorizó y se dividió en dos grupos primeras 48 horas y después de 48 horas. Se compararon las tasas de retención urinaria y de nueva cateterización entre los pacientes con retirada precoz y tardía de la sonda.RESULTADOS:
Se incluyeron 66 pacientes, con una mediana de edad de 60 años (31-88 años) y predominio del sexo masculino (n = 40, 60.9%). Se produjo retención urinaria tras la retirada de la sonda en 8 (12%). No hubo diferencias entre los dos grupos en cuanto a necesidad de nueva cateterización (14% frente a 10%, p = 0.63). Todos los pacientes que precisaron un nuevo cateterismo (n = 8) y fueron dados de alta con una sonda urinaria (n = 4) eran varones.CONCLUSIONES:
La retirada precoz o tardía de la sonda no influye en la aparición de retención urinaria en pacientes intervenidos de cáncer de recto.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
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Neoplasias Retais
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Cateterismo Urinário
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Retenção Urinária
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Remoção de Dispositivo
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Cateteres Urinários
Limite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Cir Cir
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Turquia