CYSTOGRAPHIC ASSESSMENT OF THE VESICOURETHRAL
ANASTOMOSIS AFTER RADICAL PROSTATECTOMY
Article published in Urologia Polska 2000/53/1.
authors
-
Tomasz Demkow, Tomasz Wi¶niewski
- Klinika Nowotworów Układu Moczowego Instytutu Onkologii w Warszawie
p.o. Kierownika Kliniki: dr n. med. T. Demkow
keywords
-
prostate radical prostatectomy vesicourethral junction integrity cystography
summary
- Objectives. Cystography is obtained routinely after radical retropubic
- prostatectomy to assess the integrity of the vesicourethral anastomosis before
- removal of the catheter.
- Methods. The results of cystography, performed in a period of 7 to 14 days
- post radical prostatectomy, were retrospectively reviewed in 59 cases.
- Results. After mean postoperative day 11 ? 2,5 range (7-22 days) cystograms
- were performed. No or minimal extravasation were found in 93.2% patients.
- The presence of a minimal contrast extravasation did not affect outcome after
- removal of the catheter. After mean 5.6 ? 10.2 months (range 1-42 months) the
- stricure of the vesicosurethral anastomosis has not been found. Following
- catheter removal there was no urinary retention.
- Conclusions. Cystographic confirmation of anastomotic integrity before
- removal of the catheter following 7-14 days of catheterisation is not indicated
- in the routine postradical prostatectomy patients.
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