TY  - EJOU
AU  - Stamm, Andrew 
AU  - Ferenczi, Basil 
AU  - Porter, Christopher 
AU  - Kozlowski, Paul 
AU  - Donahue, Ryan 
AU  - Corman, John 

TI  - Impact of catheter size on pain and continence following robotic prostatectomy
T2  - Canadian Journal of Urology

PY  - 2020
VL  - 27
IS  - 5
SN  - 1488-5581

AB  - <b>Introduction:</b> Continence and catheter-related pain following prostatectomy are significant patient concerns, and it is unknown whether catheter size impacts these variables. In this study, patients undergoing prostatectomy were randomized to receive either a 16 French or 20 French catheter to assess the impact of catheter size on postoperative continence and pain.<br/>
<b>Materials and methods:</b> Patients were prospectively randomized to receive either a 16 French or a 20 French latex catheter at the completion of prostatectomy. Subjects were asked on postoperative day 7 to report their average catheter-related pain and the amount of opioid medication used. International Prostate Symptom Score, Quality of Life score, and pads per day were recorded 6 and 12 weeks postoperatively.<br/>
<b>Results:</b> Fifty-two patients were randomized. Seven were excluded: surgeon catheter preference (3) or withdrawal of consent (4). Demographic and pathologic data did not differ between groups (all p > 0.20). Catheter pain scores and postoperative opioid use were not different between groups (all p > 0.78). Postoperative subjective urinary symptom scores and pads per day did not differ between groups at both 6 and 12 weeks (all p > 0.16).<br/>
<b>Conclusions:</b> Catheter size did not impact postoperative urethral and bladder pain or continence after prostatectomy. These data suggest that surgeon preference should guide catheter selection between 16-20 French. Future studies might investigate precise intraoperative anastomosis size measurement and the impact of catheter size on pain scores in a nonoperative population.
KW  - prostatectomy
KW  -  catheters
KW  -  pain
KW  -  robotic surgery

DO  -