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An Assessment of Patient Comfort and Morbidity After Robot-Assisted Radical Prostatectomy with Suprapubic Tube Versus Urethral Catheter Drainage.

Publication ,  Journal Article
Morgan, MSC; Ozayar, A; Friedlander, JI; Shakir, N; Antonelli, JA; Bedir, S; Roehrborn, CG; Cadeddu, JA
Published in: J Endourol
March 2016

OBJECTIVE: Robot-assisted laparoscopic prostatectomy (RALP) with suprapubic tube (SPT), compared to urethral catheter (UC) drainage, has been proposed to improve patient comfort and recovery. We sought to compare short-term outcomes for pain and morbidity after RALP with SPT vs UC drainage. METHODS: Between August 2012 and 2014, 159 men underwent a RALP and prospectively completed a questionnaire addressing postoperative pain and satisfaction. Group 1 (n = 94) underwent a RALP by one surgeon who placed a UC and removed it between postoperative day (POD) 7 and 10. Group 2 (n = 65) underwent a RALP by a different surgeon who placed an SPT and UC. On POD 1, the UC was removed. On POD 9, the SPT was capped and removed on POD 11 if the patient was voiding adequately. Preoperative and intraoperative data, complications, questionnaires, and patient-reported morbidity, including unplanned telephone calls and emergency department (ED) visits, were compared between groups. RESULTS: Patient characteristics were similar between groups. One week after surgery, the penile pain score was statistically significantly lower in Group 2 compared to Group 1 (56.9% and 79.8%, respectively, reported minimal-to-moderate pain, p = 0.003). Bladder spasms and overall pain were not significantly higher for Group 1 compared to Group 2 (p > 0.05). When asked "How big a problem has your urine storage device been?," 20.2% of patients in Group 1 reported it as a "moderate-to-big" problem compared to 10.8% in Group 2 (p > 0.05). The number of catheter-related unplanned telephone encounters did not differ between the two groups (p = 0.7), however, although not statistically significant, 4.6% of patients in Group 2 presented to the ED with catheter-related issues (p = 0.07). CONCLUSION: SPT after RALP was associated with less penile pain compared to UC drainage, and modestly better patient satisfaction. There were no significant differences in bladder spasms, overall pain, and patient-reported morbidity between groups.

Duke Scholars

Published In

J Endourol

DOI

EISSN

1557-900X

Publication Date

March 2016

Volume

30

Issue

3

Start / End Page

300 / 305

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Urinary Catheters
  • Urinary Catheterization
  • Surveys and Questionnaires
  • Robotic Surgical Procedures
  • Retrospective Studies
  • Prostatic Neoplasms
  • Prostatectomy
  • Postoperative Complications
  • Patient Satisfaction
 

Citation

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Morgan, M. S. C., Ozayar, A., Friedlander, J. I., Shakir, N., Antonelli, J. A., Bedir, S., … Cadeddu, J. A. (2016). An Assessment of Patient Comfort and Morbidity After Robot-Assisted Radical Prostatectomy with Suprapubic Tube Versus Urethral Catheter Drainage. J Endourol, 30(3), 300–305. https://doi.org/10.1089/end.2015.0206
Morgan, Monica S. C., Asim Ozayar, Justin I. Friedlander, Nabeel Shakir, Jodi A. Antonelli, Selahattin Bedir, Claus G. Roehrborn, and Jeffrey A. Cadeddu. “An Assessment of Patient Comfort and Morbidity After Robot-Assisted Radical Prostatectomy with Suprapubic Tube Versus Urethral Catheter Drainage.J Endourol 30, no. 3 (March 2016): 300–305. https://doi.org/10.1089/end.2015.0206.
Morgan MSC, Ozayar A, Friedlander JI, Shakir N, Antonelli JA, Bedir S, et al. An Assessment of Patient Comfort and Morbidity After Robot-Assisted Radical Prostatectomy with Suprapubic Tube Versus Urethral Catheter Drainage. J Endourol. 2016 Mar;30(3):300–5.
Morgan, Monica S. C., et al. “An Assessment of Patient Comfort and Morbidity After Robot-Assisted Radical Prostatectomy with Suprapubic Tube Versus Urethral Catheter Drainage.J Endourol, vol. 30, no. 3, Mar. 2016, pp. 300–05. Pubmed, doi:10.1089/end.2015.0206.
Morgan MSC, Ozayar A, Friedlander JI, Shakir N, Antonelli JA, Bedir S, Roehrborn CG, Cadeddu JA. An Assessment of Patient Comfort and Morbidity After Robot-Assisted Radical Prostatectomy with Suprapubic Tube Versus Urethral Catheter Drainage. J Endourol. 2016 Mar;30(3):300–305.
Journal cover image

Published In

J Endourol

DOI

EISSN

1557-900X

Publication Date

March 2016

Volume

30

Issue

3

Start / End Page

300 / 305

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Urinary Catheters
  • Urinary Catheterization
  • Surveys and Questionnaires
  • Robotic Surgical Procedures
  • Retrospective Studies
  • Prostatic Neoplasms
  • Prostatectomy
  • Postoperative Complications
  • Patient Satisfaction