Lau K O, Cheng C
Department of Urology, Singapore General Hospital, Singapore.
Tech Urol. 2001 Mar;7(1):38-40.
This study was conducted to determine if early (1 week) removal of the urethral catheter after radical prostatectomy is feasible.
Eighty patients underwent surgery from 1992 to 1999. Of the 78 patients with analyzable results, 22 (28%) had the catheter removed after 3 weeks (group 1) and 56 (72%) after 1 week (group 2).
Median follow-up of 49 months revealed no mortality or major morbidity in the two groups of patients. Urinary functions were satisfactory and similar in both groups of patients. Group 2 patients had an improved continence rate of 92%, achieving full continence at 3 months, compared to 59% for group 1. The mean duration of hospitalization of 8.2 days for group 2 was better than the 12.1 days for group 1.
Early removal of the catheter after radical prostatectomy was feasible, did not impose any short- or long-term morbidity, and may offer some benefits.
本研究旨在确定前列腺癌根治术后早期（1周）拔除导尿管是否可行。
1992年至1999年期间，80例患者接受了手术。在78例有可分析结果的患者中，22例（28%）在3周后拔除导尿管（第1组），56例（72%）在1周后拔除导尿管（第2组）。
中位随访49个月显示，两组患者均无死亡或严重并发症。两组患者的排尿功能均令人满意且相似。第2组患者的控尿率提高至92%，在3个月时实现完全控尿，而第1组为59%。第2组患者的平均住院时间为8.2天，优于第1组的12.1天。
前列腺癌根治术后早期拔除导尿管是可行的，不会带来任何短期或长期并发症，且可能有一些益处。
