Early catheter removal after anterior anastomotic (3 days) and ventral buccal mucosal onlay (7 days) urethroplasty
INTRODUCTION: Physicians who perform urethroplasty have varying opinions about when the urinary catheter should be removed post-operatively, but research on this subject has not yet appeared in the literature. We performed voiding cystourethrogram (VCUG) on our anterior urethroplasty patients on day...
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Format: | Article |
Language: | English |
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Sociedade Brasileira de Urologia
2005-10-01
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Series: | International Brazilian Journal of Urology |
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Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382005000500007 |
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author | Hosam S. Al-Qudah Andre G. Cavalcanti Richard A. Santucci |
author_facet | Hosam S. Al-Qudah Andre G. Cavalcanti Richard A. Santucci |
author_sort | Hosam S. Al-Qudah |
collection | DOAJ |
description | INTRODUCTION: Physicians who perform urethroplasty have varying opinions about when the urinary catheter should be removed post-operatively, but research on this subject has not yet appeared in the literature. We performed voiding cystourethrogram (VCUG) on our anterior urethroplasty patients on days 3 (anastomotic) and 7 (buccal) in an effort to determine the earliest day for removal of the urethral catheter. MATERIALS AND METHODS: Retrospective chart review of 29 urethroplasty patients from October 2002 - August 2004 was performed at two reconstructive urology centers. 17 patients had early catheter removal (12 anastomotic and 5 ventral buccal onlay urethroplasty) and were compared to 12 who had late removal (7 anastomotic and 5 buccal). RESULTS: Of those with early catheter removal, 2/12 (17%) of anastomotic urethroplasty patients had extravasation, which resolved by the following week and 0/5 (0%) of the buccal mucosal urethroplasty patients had extravasation. Patients with late catheter removal underwent VCUG 6-14 days (mean 8 days) after anastomotic urethroplasty and 9-14 days (mean 12 days) after buccal mucosal urethroplasty. 0% of the anastomotic urethroplasty had leakage after the late VCUG and 1/5 (20%) of the buccal patients had extravasation after the VCUG. Recurrences were low in all patient groups. CONCLUSION: Catheter removal after anastomotic and buccal mucosal urethroplasty can be safely attempted on the 3rd and 7th post-operative days respectively, with a low rate of extravasation on VCUG. Eliminating the catheter as soon as possible should improve patient comfort without harming results and decrease the overall negative impact of surgery on the patient. |
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issn | 1677-5538 1677-6119 |
language | English |
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publishDate | 2005-10-01 |
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spelling | doaj.art-8c249f4a921d4dc6bec1ca55892272662022-12-22T02:44:39ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-55381677-61192005-10-0131545946410.1590/S1677-55382005000500007Early catheter removal after anterior anastomotic (3 days) and ventral buccal mucosal onlay (7 days) urethroplastyHosam S. Al-QudahAndre G. CavalcantiRichard A. SantucciINTRODUCTION: Physicians who perform urethroplasty have varying opinions about when the urinary catheter should be removed post-operatively, but research on this subject has not yet appeared in the literature. We performed voiding cystourethrogram (VCUG) on our anterior urethroplasty patients on days 3 (anastomotic) and 7 (buccal) in an effort to determine the earliest day for removal of the urethral catheter. MATERIALS AND METHODS: Retrospective chart review of 29 urethroplasty patients from October 2002 - August 2004 was performed at two reconstructive urology centers. 17 patients had early catheter removal (12 anastomotic and 5 ventral buccal onlay urethroplasty) and were compared to 12 who had late removal (7 anastomotic and 5 buccal). RESULTS: Of those with early catheter removal, 2/12 (17%) of anastomotic urethroplasty patients had extravasation, which resolved by the following week and 0/5 (0%) of the buccal mucosal urethroplasty patients had extravasation. Patients with late catheter removal underwent VCUG 6-14 days (mean 8 days) after anastomotic urethroplasty and 9-14 days (mean 12 days) after buccal mucosal urethroplasty. 0% of the anastomotic urethroplasty had leakage after the late VCUG and 1/5 (20%) of the buccal patients had extravasation after the VCUG. Recurrences were low in all patient groups. CONCLUSION: Catheter removal after anastomotic and buccal mucosal urethroplasty can be safely attempted on the 3rd and 7th post-operative days respectively, with a low rate of extravasation on VCUG. Eliminating the catheter as soon as possible should improve patient comfort without harming results and decrease the overall negative impact of surgery on the patient.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382005000500007urethraurethral stricturesurgerycatheterdevice removal |
spellingShingle | Hosam S. Al-Qudah Andre G. Cavalcanti Richard A. Santucci Early catheter removal after anterior anastomotic (3 days) and ventral buccal mucosal onlay (7 days) urethroplasty International Brazilian Journal of Urology urethra urethral stricture surgery catheter device removal |
title | Early catheter removal after anterior anastomotic (3 days) and ventral buccal mucosal onlay (7 days) urethroplasty |
title_full | Early catheter removal after anterior anastomotic (3 days) and ventral buccal mucosal onlay (7 days) urethroplasty |
title_fullStr | Early catheter removal after anterior anastomotic (3 days) and ventral buccal mucosal onlay (7 days) urethroplasty |
title_full_unstemmed | Early catheter removal after anterior anastomotic (3 days) and ventral buccal mucosal onlay (7 days) urethroplasty |
title_short | Early catheter removal after anterior anastomotic (3 days) and ventral buccal mucosal onlay (7 days) urethroplasty |
title_sort | early catheter removal after anterior anastomotic 3 days and ventral buccal mucosal onlay 7 days urethroplasty |
topic | urethra urethral stricture surgery catheter device removal |
url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382005000500007 |
work_keys_str_mv | AT hosamsalqudah earlycatheterremovalafteranterioranastomotic3daysandventralbuccalmucosalonlay7daysurethroplasty AT andregcavalcanti earlycatheterremovalafteranterioranastomotic3daysandventralbuccalmucosalonlay7daysurethroplasty AT richardasantucci earlycatheterremovalafteranterioranastomotic3daysandventralbuccalmucosalonlay7daysurethroplasty |