Reuvers, S.H.M. (2012) Catheter-related problems post laparoscopic radical prostatectomy at home, incidence and factors of influence. thesis, Medicine.
Full text available on request.Abstract
Introduction: After laparoscopic radical prostatectomy a urinary catheter is left in situ to prevent urine retention and to reduce the risk of urethral fistula formation. Nowadays the duration of hospitalization after surgery is becoming shorter and physicians are not informed about the post-operative problems patients experience at home. Although this is a common procedure, catheter-related problems at home after laparoscopic radical prostatectomy have not been reported in literature. The aim of this study was to register the incidence of urinary catheter-related problems at home after laparoscopic radical prostatectomy and to detect influencing factors. Materials and methods: All men (n = 59) who underwent a laparoscopic radical prostatectomy between December 2010 and November 2011 at the Leiden University Medical Centre (LUMC) in the Netherlands were included in this study after being diagnosed with clinically localized prostate cancer. After the operation a Charriere 20 silicone catheter was left in situ. At the department of Urology on average 7 to 11 days post-operative questionnaires with questions regarding catheter-related problems were distributed to the patients. Patients’ medical statuses were used to collect pre-operative, operative and post-operative data which might have influenced the occurrence of catheter-related problems. Results: The incidence of catheter-related problems was 81.4%. A statistically significant association was found between the two catheter-related problems ‘urge to void’ and ‘urine leakage’. Age was found to be a statistically significant negative explanatory factor for experiencing low abdominal pain. No other statistically significant factors of influence for the occurrence of catheter-related problems were found. Conclusion: Catheter-related problems post- laparoscopic radical prostatectomy were shown to be common and a major healthcare problem. Further research is needed to investigate influencing factors and to find a solution to reduce catheter-related problems post- laparoscopic radical prostatectomy despite shorter periods of hospitalization.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Boerma, M.O. (Faculty Supervisor) |
| Supervisor name: | Elzevier, Dr. H.W. and Department of Urology, Leiden University Medical Centre |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:46 |
| Last Modified: | 25 Jun 2020 10:46 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/786 |
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