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Early urinary continence recovery following retzius-sparing robotic-assistant radical prostatectomy with suprapubic catheter: a short-term follow-up outcome

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Abstract

Objective

To evaluate the recovery of early urinary continence in patients with prostate cancer using a suprapubic catheter during Retzius-sparing robotic-assistant laparoscopic prostatectomy.

Patients and methods

From January 2018 to January 2019, 223 patients diagnosed with prostate cancer who underwent Retzius-sparing robotic-assistant laparoscopic prostatectomy in Diakonie Klinikum Stuttgart were involved in our study. From January 2018 to June 2018, patients (112 cases) only had an indwelling urinary catheter during Retzius-sparing robotic-assistant laparoscopic prostatectomy, while from July 2018 to January 2019, patients (111 cases) were offered an extra suprapubic catheter during operation. The recovery of early urinary continence of patients was mainly investigated one month later.

Results

The overall early urinary continence rate was 81.61%. Patients with suprapubic catheter had better urinary control results, compared to patients with only indwelling urinary catheter (87.39% vs 75.89%, p = 0.027). In addition, International Prostate Symptom Score and irritative subscore in patients with good urinary control were significantly lower than that in patients with urinary incontinence. Suprapubic catheter insertion (OR 0.395; 95% CI 0.190–0.821) and advanced pathological tumor stage (T3a–T4) (OR 2.061; 95% CI 1.008–4.217) were two independent influencing factors for early urinary continence recovery in patients who underwent Retzius-sparing robotic-assistant laparoscopic prostatectomy through multivariate logistic regression analysis.

Conclusion

Suprapubic catheter insertion may be helpful for early urinary continence recovery in patients with Retzius-sparing Robotic-assistant laparoscopic prostatectomy. Advanced pathological tumor stage (T3a–T4) before Retzius-sparing robotic-assistant laparoscopic prostatectomy might be associated with poor urinary control.

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Author notes

  1. Ding Xu and Zhongqing Yang contributed equally to this article.

Authors and Affiliations

  1. Department of Urology, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China

    Ding Xu & Jun Qi

  2. Department of Urology, Xiangya Hospital of Central South University, Changsha, China

    Zhongqing Yang & Ye Lei

  3. Department of Urology, Diakonie Klinikum Stuttgart, Stuttgart, Germany

    Ding Xu, Jens Mundhenk, Christian Schwentner & Ye Lei

  4. Department of Urology, Klinikum Ludwigsburg, Ludwigsburg, Germany

    Patrick Zanker

Authors
  1. Ding Xu
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  2. Zhongqing Yang
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  3. Jun Qi
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  4. Jens Mundhenk
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  5. Patrick Zanker
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  6. Christian Schwentner
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  7. Ye Lei
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Contributions

DX: Manuscript writing, Data collection, Data analysis; ZQY: Data analysis, Project development; JQ: Data analysis; JM: Data collection; PZ: Data collection; CS: Manuscript editing, Project development; YL: Manuscript writing, Manuscript editing, Project development; All the authors approved the final version of the manuscript.

Corresponding authors

Correspondence to Christian Schwentner or Ye Lei.

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This is a clinical and retrospective study which involves human participants and ethics approval was not obtained prior to data collecting.

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Xu, D., Yang, Z., Qi, J. et al. Early urinary continence recovery following retzius-sparing robotic-assistant radical prostatectomy with suprapubic catheter: a short-term follow-up outcome. World J Urol 39, 3251–3257 (2021). https://doi.org/10.1007/s00345-021-03643-3

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  • DOI: https://doi.org/10.1007/s00345-021-03643-3

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