Indwelling Urinary Catheter-Related Problems After Laparoscopic Radical Prostatectomy.

J Wound Ostomy Continence Nurs

Sarah Reuvers, MD, Department of Urology, Leiden University Medical Centre, Leiden, the Netherlands. Willemijn Zonneveld, MD, Department of Urology, Leiden University Medical Centre, Leiden, the Netherlands. Marja Meiland-van Bakel, RN, Department of Urology, Leiden University Medical Centre, Leiden, the Netherlands. Hein Putter, PhD, Department of Medical Statistics, Leiden University Medical Centre, Leiden, the Netherlands. Melianthe Nicolai, PhD, Department of Urology, Leiden University Medical Centre, Leiden, the Netherlands. Rob Pelger, MD, PhD, Department of Urology, Leiden University Medical Centre, Leiden, the Netherlands. Henk Elzevier, PhD, Department of Urology, Leiden University Medical Centre, Leiden, the Netherlands.

Published: August 2017

Purpose: The purpose of this study was to determine occurrence rates of catheter-related problems and their association to pertinent clinical characteristics in men with indwelling urinary catheters following laparoscopic radical prostatectomy.

Study Design: Descriptive, correlational study.

Subjects And Setting: One hundred twelve men who underwent laparoscopic radical prostatectomy between December 2010 and December 2012 at the Leiden University Medical Centre in the Netherlands were included in this study. After surgery, a Charriere 20 (20F) silicone catheter was left indwelling for 1 week.

Methods: Data were gathered from 2 sources; we reviewed participants' medical records, and participants completed a questionnaire designed for this study. Pearson χ tests were used to analyze associations between dichotomous and ordinal variables and catheter-related problems. Univariate logistic regression analyses were used to analyze the relationships between continuous factors and catheter-related problems.

Results: Seventy-five percent of participants reported at least 1 catheter-related problem. Univariate regression analyses revealed correlations between body weight and experiencing catheter-related problems (odds ratio [OR] = 1.050; P = .028) and between body mass index and experiencing catheter-related problems (OR = 1.159; P = .049).

Conclusion: Indwelling catheter-related problems after laparoscopic radical prostatectomy are prevalent, and they may occur at any time during the entire period of catheter use. High body mass index and high body weight were associated with an increased likelihood of catheter-related problems following radical prostatectomy.

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http://dx.doi.org/10.1097/WON.0000000000000241DOI Listing

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