| Revista: | International braz j urol |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000296724 |
| ISSN: | 1677-5538 |
| Autores: | Al-Qudah, Hosam S1 Cavalcanti, Andre G2 Santucci, Richard A |
| Instituciones: | 1Wayne State University, School of Medicine, Detroit, Michigan. Estados Unidos de América 2Hospital Municipal Souza Aguiar, Seccao de Urologia, Rio de Janeiro. Brasil |
| Año: | 2005 |
| Periodo: | Sep-Oct |
| Volumen: | 31 |
| Número: | 5 |
| Paginación: | 459-464 |
| País: | Brasil |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Caso clínico, analítico |
| Resumen en inglés | INTRODUCTION: Physicians who perform urethroplasty have varying opinions about when the urinary catheter should be removed post-operatively, but research on this subject has not yet appeared in the literature. We performed voiding cystourethrogram (VCUG) on our anterior urethroplasty patients on days 3 (anastomotic) and 7 (buccal) in an effort to determine the earliest day for removal of the urethral catheter. MATERIALS AND METHODS: Retrospective chart review of 29 urethroplasty patients from October 2002 - August 2004 was performed at two reconstructive urology centers. 17 patients had early catheter removal (12 anastomotic and 5 ventral buccal onlay urethroplasty) and were compared to 12 who had late removal (7 anastomotic and 5 buccal). RESULTS: Of those with early catheter removal, 2/12 (17%) of anastomotic urethroplasty patients had extravasation, which resolved by the following week and 0/5 (0%) of the buccal mucosal urethroplasty patients had extravasation. Patients with late catheter removal underwent VCUG 6-14 days (mean 8 days) after anastomotic urethroplasty and 9-14 days (mean 12 days) after buccal mucosal urethroplasty. 0% of the anastomotic urethroplasty had leakage after the late VCUG and 1/5 (20%) of the buccal patients had extravasation after the VCUG. Recurrences were low in all patient groups. CONCLUSION: Catheter removal after anastomotic and buccal mucosal urethroplasty can be safely attempted on the 3rd and 7th post-operative days respectively, with a low rate of extravasation on VCUG. Eliminating the catheter |
| Disciplinas: | Medicina |
| Palabras clave: | Cirugía, Uretra, Uretroplastia, Estenosis, Catéter |
| Keyword: | Medicine, Surgery, Urethra, Urethroplasty, Stenosis, Catheter |
| Texto completo: | Texto completo (Ver HTML) |
