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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Main Authors: Hosam S. Al-Qudah, Andre G. Cavalcanti, Richard A. Santucci
Format: Article
Language:English
Published: Sociedade Brasileira de Urologia 2005-10-01
Series:International Brazilian Journal of Urology
Subjects:
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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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