Removal Time of Urinary Catheter After Laparoscopic Anterior Resection of the Rectum

Last updated: February 23, 2017
Sponsor: Peking Union Medical College Hospital
Overall Status: Trial Status Unknown

Phase

N/A

Condition

Rectal Cancer

Colorectal Cancer

Digestive System Neoplasms

Treatment

N/A

Clinical Study ID

NCT03065855
ARCTIC
  • Ages > 18
  • All Genders

Study Summary

Traditionally these catheters are retained for 7 days, because a higher incidence of urinary retention is related to early removal of the urinary catheter. However, recently Enhanced Recovery After Surgery presents that urinary catheters placed via the urethra can be withdrawn 48 hours after colon/rectal surgery in patients receiving epidural pain relief，but there is no clear data on the incidence of urine retention.Longer retaining time of urethral catheter would induce the urinary tract infection while early removal of urethral catheter is considered to develop acute retention of urine due to lack of sensation when the bladder is full. Taking the comfort and mobility for faster rehabilitation of patients into account, the investigators aim at obtain the optimal removal time of urinary catheter after after laparoscopic anterior resection of the rectum

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Competent to consent to participate in trial

  2. Patients with rectal cancer who underwent total or tumor-specific-mesorectal excisionwith colorectal or colonanal anastomosis

  3. Elective surgery

  4. ASA classification of 1~3

  5. If male, international prostate symptom score <20.

Exclusion

Exclusion Criteria:

  1. Combined pelvic surgery(pelvic lymph node dissection, hysterectomy,salpingo-oophorectomy, posterior vaginectomy, cystectomy, ureteral double-J stenting,ureterectomy, ureteroureterostomy, prostatectomy)

  2. Postoperative complications with a Dindo grade III or more

  3. Known urinary disease(end-stage renal disease, benign prostatic hyperplasia,neurogenic bladder, malignancy)

Study Design

Total Participants: 220
Study Start date:
February 01, 2017
Estimated Completion Date:
August 31, 2017

Study Description

For a better view to avoid accidental trauma and monitoring kidney function during surgery and in the post-surgery period, patients undergoing abdominal operations will usually have a urinary catheter placed in the bladder before the surgery. Traditionally these catheters are retained for 7 days, because a higher incidence of urinary retention is related to early removal of the urinary catheter. However, recently Enhanced Recovery After Surgery presents that urinary catheters placed via the urethra can be withdrawn 48 hours after colon/rectal surgery in patients receiving epidural pain relief.

Longer retaining time of urethral catheter would induce the urinary tract infection while early removal of urethral catheter is considered to develop acute retention of urine due to lack of sensation when the bladder is full. Taking the comfort and mobility for faster rehabilitation of patients into account, the investigators aim at obtain the optimal removal time of urinary catheter after after laparoscopic anterior resection of the rectum

Connect with a study center

  • Peking union medical college hospital

    Beijing, Beijing 100730
    China

    Site Not Available

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