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Duration of urethral catheterization after urethroplasty : how long is enough?

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Abstract
Background: To report the impact of duration of urethral catheterization (DUC) on the rate of extravasation on voiding cysto-urethrography (VCUG) and the subsequent need of catheter replacement in urethroplasty. Methods: Two hundred nineteen consecutive patients undergoing urethroplasty between October 2010 and November 2014 were evaluated for the impact of DUC. Patients were divided into 2 groups, based on the scheduled DUC ≤10 days (Group 1, n=86) or >10 days (Group 2, n=133). Results: Fourteen patients (6.4%) had extravasation on VCUG with an additional period of catheter usage. In 10 of the 14 patients (71.4%) clinical signs of impaired wound healing were present. In group 1 (median DUC 8 days) 3 patients (3.5%) needed an additional period of urethral catheterization, compared to 11 patients (8.3%) in group 2 (median DUC 14 days). Strictures in group 2 were longer (4 vs 2 cm, p<0.001) and more complex. Redo urethroplasty was needed in 9 of the 14 patients with extravasation. Conclusion: In uncomplicated cases of urethroplasty, the urethral catheter can be safely removed after 8 to 10 days postoperatively. Extravasation on VCUG occurs in around 6% of urethroplasties and is a prognostic factor for stricture recurrence and reoperation.
Keywords
EAU GUIDELINES, STRICTURE, MANAGEMENT, TRAUMA, Urinary catheterization, Urethral stricture, Reconstructive surgical procedure

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Chicago
Poelaert, Filip, Willem Oosterlinck, Anne-Françoise Spinoit, and Nicolaas Lumen. 2017. “Duration of Urethral Catheterization After Urethroplasty : How Long Is Enough? .” Minerva Urologica E Nefrologica 69 (4): 372–376.
APA
Poelaert, F., Oosterlinck, W., Spinoit, A.-F., & Lumen, N. (2017). Duration of urethral catheterization after urethroplasty : how long is enough? . MINERVA UROLOGICA E NEFROLOGICA, 69(4), 372–376.
Vancouver
1.
Poelaert F, Oosterlinck W, Spinoit A-F, Lumen N. Duration of urethral catheterization after urethroplasty : how long is enough? . MINERVA UROLOGICA E NEFROLOGICA. 2017;69(4):372–6.
MLA
Poelaert, Filip et al. “Duration of Urethral Catheterization After Urethroplasty : How Long Is Enough? .” MINERVA UROLOGICA E NEFROLOGICA 69.4 (2017): 372–376. Print.
@article{7206350,
  abstract     = {Background: To report the impact of duration of urethral catheterization (DUC) on the rate of extravasation on voiding cysto-urethrography (VCUG) and the subsequent need of catheter replacement in urethroplasty.
Methods: Two hundred nineteen consecutive patients undergoing urethroplasty between October 2010 and November 2014 were evaluated for the impact of DUC. Patients were divided into 2 groups, based on the scheduled DUC ≤10 days (Group 1, n=86) or >10 days (Group 2, n=133).
Results: Fourteen patients (6.4%) had extravasation on VCUG with an additional period of catheter usage. In 10 of the 14 patients (71.4%) clinical signs of impaired wound healing were present. In group 1 (median DUC 8 days) 3 patients (3.5%) needed an additional period of urethral catheterization, compared to 11 patients (8.3%) in group 2 (median DUC 14 days). Strictures in group 2 were longer (4 vs 2 cm, p<0.001) and more complex. Redo urethroplasty was needed in 9 of the 14 patients with extravasation.
Conclusion: In uncomplicated cases of urethroplasty, the urethral catheter can be safely removed after 8 to 10 days postoperatively. Extravasation on VCUG occurs in around 6% of urethroplasties and is a prognostic factor for stricture recurrence and reoperation.},
  author       = {Poelaert, Filip and Oosterlinck, Willem and Spinoit, Anne-Françoise and Lumen, Nicolaas},
  issn         = {0393-2249},
  journal      = {MINERVA UROLOGICA E NEFROLOGICA},
  keywords     = {EAU GUIDELINES,STRICTURE,MANAGEMENT,TRAUMA,Urinary catheterization,Urethral stricture,Reconstructive surgical procedure},
  language     = {eng},
  number       = {4},
  pages        = {372--376},
  title        = {Duration of urethral catheterization after urethroplasty : how long is enough? },
  url          = {http://dx.doi.org/10.23736/S0393-2249.16.02639-4},
  volume       = {69},
  year         = {2017},
}

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