Long-term follow-up of patients undergoing percutaneous suprapubic tube drainage after robot-assisted radical prostatectomy (RARP)

摘要: UNLABELLED Study Type - Therapy (case series). Level of Evidence 4 What's known on the subject? and What does study add? • Initial reports percutaneous suprapubic tube (PST) drainage following RARP demonstrated feasibility short-term safety, while decreasing patient discomfort utilization anti-cholinergic medication. This demonstrates long-term safety efficacy bladder by PST; splinting urethrovesical anastomosis is simply not essential if mucosal apposition ensured. OBJECTIVES To evaluate functional outcomes patients undergoing after robot-assisted radical prostatectomy (RARP). PATIENTS AND METHODS Between January 2008 October 2009, 339 one surgeon experienced in RA surgery (M.M.) had postoperative with PST a minimum 1-year follow-up for urinary function. Functional were obtained via patient-administered questionnaire. Complications captured exhaustive review multiple datasets, including our prospective prostate cancer database, claims data, as well electronic medical institutional morbidity mortality records. RESULTS Urinary function assessed questionnaire was analysed at mean (sd) 11.5 (1.7) months; placement, 293 (86.4%) total control only nine (2.7%) required >1 pad/day. In all, 86 (25.4%) never wore pad; median time to 0-1 pad/day 2 weeks (interquartile range [IQR] 0,6); 6 (IQR 1,22). The complications 23.7 (6.1) months. 15 (4.4%) procedure-specific complication, which 13 minor (Clavien Class I/II 3.8%); neck contracture. 16 (4.7%) Foley placement gross haematuria (two patients), retention (three), malfunction (four) or need prolonged catheterization (seven). CONCLUSIONS safe efficacious follow-up. Splinting critical step RP watertight excellent are achieved.