Robot-assisted Partial Nephrectomy: Is Routine Urinary Catheterization Still Mandatory in the Era of Enhanced Recovery?
Urology
; 124: 148-153, 2019 02.
Article
em En
| MEDLINE
| ID: mdl-30300660
ABSTRACT
OBJECTIVE:
To assess the benefits and safety of noncatheterization during robot-assisted partial nephrectomy within an enhanced recovery protocol. MATERIALS ANDMETHODS:
A single-center retrospective comparative study was carried out of consecutive patients who underwent a robot-assisted partial nephrectomy between February 2015 and December 2017 within an early recovery program. The patients who received a urinary catheter were compared with those who did not in terms of postoperative complications, acute urinary retention rates, urinary tract infection rates, and lengths of hospital stay.RESULTS:
Of the 145 patients who followed an early recovery program after robot-assisted partial nephrectomy in the study period, 96 received a urinary catheter and 49 did not. There was no significant difference between these 2 groups in terms of the rates of acute urinary retention (3% vs 6%, respectively; Pâ¯=â¯.393), urinary tract infection (3% vs 2%; Pâ¯=â¯.707), postoperative complications (14% vs 18%; Pâ¯=â¯.445), or readmissions within 30 days (8% vs 6%; Pâ¯=â¯.636). However, patients who did not receive a catheter had shorter initial and total (including readmissions) lengths of hospital stay (respectively 2.16 days vs 2.56 days; Pâ¯=â¯.058, and 2.27 days vs 3.40 days; P <.001).CONCLUSION:
Our findings challenge the routine use of urinary catheterization during robot-assisted partial nephrectomies. Noncatheterization does not seem to increase the risk of postoperative urinary retention. Only catheterizing specific at-risk patients may prove beneficial.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Cateterismo Urinário
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Procedimentos Cirúrgicos Robóticos
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Nefrectomia
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article