Percutaneous suprapubic tube bladder drainage after robot-assisted radical prostatectomy: a step-by-step guide

摘要: Objective To describe our technique of maintaining bladder drainage after robot-assisted radical prostatectomy (RARP) using a percutaneous suprapubic tube (PST) in place urethral catheter. Methods A watertight anastomosis permits placement the PST. Contraindications include morbid obesity, concomitant inguinal hernia mesh repair, anticoagulation therapy, limited hand dexterity patient, neck reconstruction and extensive adhesiolysis at RARP. The necessary equipment includes 14-F PST balloon catheter set, three-way connector, connecting tube, suture passer, 1/0 polypropylene sutures on CT1 needle, sterile plastic button, adhesive steri-strips. Results The important steps for are: Step 1: wall anchor suture; 2: transferring to anterior abdominal skin; 3: guided under robotic vision; 4: securing within wall; 5. postoperative care: clamping day 5, recording each void post-void residual urine volumes patient diary, removal 7 48 h voiding with <100 mL per void. Conclusion We provide concise step-by-step guide during RARP as well management aspects successful adoption this technique.