{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T22:24:50Z","timestamp":1768515890948,"version":"3.49.0"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,6,18]],"date-time":"2024-06-18T00:00:00Z","timestamp":1718668800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,6,18]],"date-time":"2024-06-18T00:00:00Z","timestamp":1718668800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100011852","name":"Paracelsus Medical University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100011852","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World J Urol"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Indwelling catheterization following radical prostatectomy is used to aid healing and urinary drainage. While early removal is well investigated, prolonged catheterization has only been investigated in terms of urinary incontinence. Other complications such as anastomotic strictures are unexplored so far. This study aims to analyze the sequelae of catheterization lasting more than 14 days after robotic-assisted radical prostatectomy (RARP).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A prospective database of 3087 patients undergoing RARP was analyzed, focusing on 180 patients with catheterization exceeding 14 days (Group A) and 88 matched controls (Group B). Outcome measures included subsequent surgeries, complications, and functional outcomes.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Prolonged catheterization did not significantly increase the need for subsequent surgeries (6% in Group A vs. 7% in Group B, <jats:italic>p<\/jats:italic>\u2009=\u2009.95). However, anastomotic strictures were more common in Group A (3%) compared to Group B (0%) after exclusion of risk factors. Incontinence rates were similar between groups, although a subgroup analysis revealed higher incontinence rates in patients with catheterization exceeding 28 days. No significant differences were observed in erectile function or quality of life between the groups.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Prolonged catheterization after RARP does not independently increase the risk of anastomotic strictures in the general population. However, in patients without risk factors, prolonged catheter dwell time may elevate the risk of strictures and subsequent surgeries. Additionally, patients with catheterization exceeding 28 days may experience higher rates of long-term incontinence. Further studies with larger sample sizes are needed to confirm these findings and elucidate the long-term implications of prolonged catheterization.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00345-024-05080-4","type":"journal-article","created":{"date-parts":[[2024,6,18]],"date-time":"2024-06-18T15:14:31Z","timestamp":1718723671000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Prolonged indwelling catheter time after RARP does not lead to follow-up surgery"],"prefix":"10.1007","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7609-1207","authenticated-orcid":false,"given":"Sebastian","family":"Lenart","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus","family":"Holub","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georg","family":"Gutjahr","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ingrid","family":"Berger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anton","family":"Ponholzer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,6,18]]},"reference":[{"key":"5080_CR1","doi-asserted-by":"publisher","unstructured":"Develtere D et al (Jul 2022) Early catheter removal on postoperative day 2 after Robot-assisted radical prostatectomy: updated real-life experience with the Aalst technique, (in eng). Eur Urol Focus 8(4):922\u2013925. https:\/\/doi.org\/10.1016\/j.euf.2021.10.003","DOI":"10.1016\/j.euf.2021.10.003"},{"key":"5080_CR2","doi-asserted-by":"publisher","unstructured":"Gratzke C et al (2016) May., Early Catheter Removal after Robot-assisted Radical Prostatectomy: Surgical Technique and Outcomes for the Aalst Technique (ECaRemA Study), (in eng), Eur Urol, vol. 69, no. 5, pp. 917\u2009\u2013\u200923, https:\/\/doi.org\/10.1016\/j.eururo.2015.09.052","DOI":"10.1016\/j.eururo.2015.09.052"},{"key":"5080_CR3","doi-asserted-by":"publisher","unstructured":"Lista G et al Early Catheter Removal After Robot-assisted Radical Prostatectomy: Results from a Prospective Single-institutional Randomized Trial (Ripreca Study), (in eng), Eur Urol Focus, vol. 6, no. 2, pp. 259\u2013266, Mar 15 2020, https:\/\/doi.org\/10.1016\/j.euf.2018.10.013","DOI":"10.1016\/j.euf.2018.10.013"},{"key":"5080_CR4","unstructured":"Stamm A, Ferenczi B, Porter C, Kozlowski P, Donahue R, Corman J (Oct 2020) Impact of catheter size on pain and continence following robotic prostatectomy, (in eng). Can J Urol 27(5):10363\u201310368"},{"key":"5080_CR5","doi-asserted-by":"publisher","unstructured":"Lenart S et al (2020) Ideal timing of indwelling catheter removal after robot-assisted radical prostatectomy with a running barbed suture technique: a prospective analysis of 425 consecutive patients, (in eng), World J Urol, vol. 38, no. 9, pp. 2177\u20132183, Sep https:\/\/doi.org\/10.1007\/s00345-019-03001-4","DOI":"10.1007\/s00345-019-03001-4"},{"key":"5080_CR6","doi-asserted-by":"publisher","unstructured":"Yanagisawa T et al (2023) Role of pelvic drain and timing of urethral catheter removal following RARP: a systematic review and meta-analysis, (in eng). BJU Int Apr 04. https:\/\/doi.org\/10.1111\/bju.16022","DOI":"10.1111\/bju.16022"},{"key":"5080_CR7","doi-asserted-by":"publisher","unstructured":"Tilki D et al (Aug 2018) The impact of time to catheter removal on short-, intermediate- and long-term urinary continence after radical prostatectomy, (in eng). World J Urol 36(8):1247\u20131253. https:\/\/doi.org\/10.1007\/s00345-018-2274-y","DOI":"10.1007\/s00345-018-2274-y"},{"key":"5080_CR8","doi-asserted-by":"publisher","unstructured":"Sibert NT et al (Jan 2021) Psychometric validation of the German version of the EPIC-26 questionnaire for patients with localized and locally advanced prostate cancer, (in eng). World J Urol 39(1):11\u201325. https:\/\/doi.org\/10.1007\/s00345-019-02949-7","DOI":"10.1007\/s00345-019-02949-7"},{"key":"5080_CR9","doi-asserted-by":"publisher","unstructured":"Krausewitz P, Farzat M, Ellinger J, Ritter M (Feb 2023) Omitting routine cystography after RARP: analysis of complications and readmission rates in suprapubic and transurethral drained patients, (in eng). 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