Abstract
Purpose
A recent trend in urinary catheter management in patients who underwent laparoscopic rectal cancer surgery is early removal. However, some patients develop bladder dysfunction and require urinary re-catheterization. In 2016, a scoring system to predict bladder dysfunction after laparoscopic rectal cancer surgery was developed in our institution. The aim of this study was to demonstrate the validity of this scoring system and to determine the suitability of patients for early removal of urinary catheter.
Methods
A single-center, retrospective study from a prospective database was conducted on 234 patients who underwent elective laparoscopic rectal cancer surgery between January 2016 and December 2019. According to bladder dysfunction predictive score, the urinary catheter was removed on the first postoperative day (low-risk group) and fifth postoperative day (high-risk group). After catheter removal, all patients were managed using in-house protocols.
Results
Of 234 patients, 130 (55.6%) were classified as a low-risk group. The overall incidence of bladder dysfunction was 8.5% (11/130) in the low-risk group and 13.5% (14/104) in the high-risk group.
Conclusion
The scoring system developed to predict bladder dysfunction showed good overall performance for discriminating between patients suitable or not for early removal of urinary catheter after laparoscopic rectal cancer surgery.
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Study conception and design: Min C, Lee SR, Jung KU, Kim H, and Kim HO. Acquisition of data: Min C, Kim YB, Park Y, and Son JT. Analysis and interpretation of data: Lee KH and Min C. Drafting of manuscript: Lee KH and Min C. Critical revision of manuscript: Lee KH, Kim YB, Park Y, Son JT, Lee SR, Jung KU, Kim H, and Kim HO.
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This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Institutional Review Board of Kangbuk Samsung Hospital (KBSMC 2016–07-003, KBSMC 2021–06-015).
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Informed consent was obtained from all individual participants included in the study.
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Lee, K.H., Min, C., Kim, H.O. et al. Validation of a scoring system to predict bladder dysfunction after laparoscopic rectal cancer surgery. Langenbecks Arch Surg 407, 2929–2935 (2022). https://doi.org/10.1007/s00423-022-02582-w
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DOI: https://doi.org/10.1007/s00423-022-02582-w