Comparison of early and late removal of the urinary catheter after rectal cancer surgery Comparación de la retirada precoz y tardía de la sonda urinaria tras la cirugía de cáncer rectal


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Kivilcim-Uprak T. K., Ciciboǧa K., Eren-Kayaci A., Attaallah W.

Cirugia y Cirujanos (English Edition), vol.92, no.2, pp.189-193, 2024 (SCI-Expanded, Scopus) identifier identifier

  • Publication Type: Article / Article
  • Volume: 92 Issue: 2
  • Publication Date: 2024
  • Doi Number: 10.24875/ciru.23000238
  • Journal Name: Cirugia y Cirujanos (English Edition)
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, Directory of Open Access Journals
  • Page Numbers: pp.189-193
  • Keywords: Catheter, Catheter removal time, Pelvic surgery, Rectal cancer
  • Open Archive Collection: AVESIS Open Access Collection
  • Marmara University Affiliated: Yes

Abstract

Objective: This study is aiming to compare the results of early and late removal of urinary catheters after rectal cancer surgery. Materials and methods: Patients who undergone rectal cancer surgery in a single center were included in this prospective randomized study. The timing of the urinary catheter removal was randomized by a computer-assisted program and divided into 2 groups, which are early (first 48 h) and late (after 48 h). The primary outcome of this study was to compare the urinary retention and re-catheterization rates between patients with early and those with late catheter removal. Results: Sixty-six patients were included in this study. The median age was 60 (31-88 years), and the patient group was predominantly male (n: 40, 60.9%). Urinary retention after catheter removal developed in 8 (12%) of 66 patients. There was no difference between the two groups in terms of the need for re-catheterization (14% vs. 10%, p: 0.63). All the patients who required re-catheterization (n: 8) and were discharged with a urinary catheter (n: 4) were male. When the male and female patients were evaluated separately, there was no difference in urinary retention in the early or late groups. Conclusions: Early or late removal of the catheter does not play a role in the development of urinary retention in patients undergoing rectal cancer surgery.