Editorial Comment on: Percutaneous cystostomy drainage for early removing urethral catheter in robotic-assisted laparoscopic radical prostatectomy: improving on patient's discomfort

摘要

The urethral catheter placement after radical prostatectomy (RP) is used for stenting and protecting vesico-urethral anastomosis, as well as adequate bladder urinary drainage. Maintaining the security and good drainage function of the urethral catheter after RP is important. The urethral catheter is usually removed in six to 10 days after RP in different series, independently by the open, laparoscopic, or robotic approaches. Discomfort associated with urethral catheterization is a significant source of morbidity following robot-assisted laparoscopic radical prostatectomy (RALP). Many patients who underwent RALP were concerned about urethral and bladder pain due to postoperative urethral catheter. These bothersome sensations represent a significant problem that leaves patients feeling discouraged and disappointed. Lepor et al. found that 54% of patients reported moderate or severe physical limitations associated with urethral catheterization.