Evidence map›Paper›PMID 27334135›Full record

Trial reportWorld journal of urology2017

Postoperative patient comfort in suprapubic drainage versus transurethral catheterization following robot-assisted radical prostatectomy: a prospective randomized clinical trial.

Nina Harke, Michael Godes, Jawid Habibzada, Katarina Urbanova, Christian Wagner, Henrik Zecha, Mustapha Addali, Jorn H Witt

Abstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in World journal of urology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 4 pooled it
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 4 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
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  4. Pooled it
  5. Trial
  6. Review
  7. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Nina HarkeDepartment of Urology, Pediatric Urology and Urologic Oncology - Prostate Center Northwest, St. Antonius Hospital, Moellenweg 22, 48599, Gronau, Germany. harkenina@gmail.com.
Michael GodesDepartment of Urology, Pediatric Urology and Urologic Oncology - Prostate Center Northwest, St. Antonius Hospital, Moellenweg 22, 48599, Gronau, Germany.
Jawid HabibzadaDepartment of Urology, Pediatric Urology and Urologic Oncology - Prostate Center Northwest, St. Antonius Hospital, Moellenweg 22, 48599, Gronau, Germany.
Katarina UrbanovaDepartment of Urology, Pediatric Urology and Urologic Oncology - Prostate Center Northwest, St. Antonius Hospital, Moellenweg 22, 48599, Gronau, Germany.
Christian WagnerDepartment of Urology, Pediatric Urology and Urologic Oncology - Prostate Center Northwest, St. Antonius Hospital, Moellenweg 22, 48599, Gronau, Germany.
Henrik ZechaDepartment of Urology, Pediatric Urology and Urologic Oncology - Prostate Center Northwest, St. Antonius Hospital, Moellenweg 22, 48599, Gronau, Germany.
Mustapha AddaliDepartment of Urology, Pediatric Urology and Urologic Oncology - Prostate Center Northwest, St. Antonius Hospital, Moellenweg 22, 48599, Gronau, Germany.
Jorn H WittDepartment of Urology, Pediatric Urology and Urologic Oncology - Prostate Center Northwest, St. Antonius Hospital, Moellenweg 22, 48599, Gronau, Germany.
St.-Antonius-Hospital Gronau · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the impact of the type of urinary diversion (suprapubic vs. transurethral catheterization) on patients' postoperative pain after radical prostatectomy, development of bacteriuria and long-term functional results.

methodsA randomized, prospective clinical trial was performed including 160 patients who underwent robot-assisted radical prostatectomy after randomization into two groups: intraoperatively, a transurethral catheter (control group) or an additional suprapubic tube (with removal of the transurethral catheter in the morning of postoperative day 1; intervention group) was placed. Primary study endpoint was postoperative pain objectified by the numeric rating scale questionnaire. Secondary endpoints were bacteriuria after catheter removal and functional outcomes after up to 2 years of follow-up.

resultsThere were no significant differences in demographic and perioperative data. Starting on postoperative day 2, patients in the suprapubic diversion group had significantly less pain on every time point preceding the removal of the catheter compared to the control cohort with a median overall numeric rating score on postoperative day 1-4 of 2.4 points in the transurethral versus 1.3 in the intervention group (p = 0.012). No statistical difference was found in postoperative bacteriuria and complications as well as in functional results, quality of life and incontinence rates after a median follow-up of 22 months.

conclusionsSuprapubic drainage in robot-assisted radical prostatectomy shows significantly decreased pain levels during the catheterization period compared to the transurethral diversion without compromising long-term functional results. Intraoperative placement of a suprapubic tube should be discussed as a standard procedure for further improvement of patients' postoperative comfort.

Indexed as

ProstatectomyRobotic Surgical ProceduresAgedBacteriuriaCystostomyHumansLymph Node ExcisionMaleMiddle AgedNeoplasm GradingNeoplasm StagingPostoperative CarePostoperative ComplicationsPostoperative PainProstatic NeoplasmsUrinary CatheterizationDiscomfortRadical prostatectomySuprapubic tubeUrethral catheterUrinary drainage

Identifiers

PMID27334135
OpenAlexW2463201368

What OpenQuestion holds

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Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.