{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T09:30:37Z","timestamp":1768642237203,"version":"3.49.0"},"reference-count":35,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,1,20]],"date-time":"2021-01-20T00:00:00Z","timestamp":1611100800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To investigate the prevalence of catheterisation and urinary retention in male patients with bladder cancer after radical cystectomy (RC) and orthotopic neobladder (ONB) and to identify potential predictors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>Using an Institutional Review Board approved, prospectively maintained bladder cancer database, we collected information using a diversion\u2010related questionnaire from 299 consecutive male patients with bladder cancer upon postoperative clinic visit. Urinary retention was defined as \u22653\u00a0catheterisations\/day or a self\u2010reported inability to void without a catheter. Uni\u2010 and multivariable Cox regression analysis was performed to identify predictors of catheterisation and urinary retention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Self\u2010catheterisation was reported in 51 patients (17%), of whom, 22 (7.4% of the total patients) were in retention. Freedom from any catheterisation at 3, 5, and 10\u00a0years after RC was 85%, 77%, and 62%, respectively. Freedom from retention at 3, 5, and 10\u00a0years after RC was 93%, 88%, and 79%, respectively. Multivariable Cox regression showed that higher body mass index (BMI; \u226527\u00a0kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ) significantly increased the need for catheterisation (hazard ratio [HR] 2.34, 95% confidence interval [CI] 1.26\u20134.32) as well as retention (HR 5.20, 95% CI 1.74\u201315.51). Greater medical comorbidity (Charlson Comorbidity Index score \u22652) correlated with the need for any catheterisation (HR 1.84, 95% CI 1.02\u20133.3), but not retention. Pathological stage and type of diversion were not significant predictors of the need to catheterise or urinary retention.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      In males undergoing RC with ONB, retention requiring catheterisation to void is uncommon. Patients with a BMI of \u226527\u00a0kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      are at significantly increased risk of retention and need for self\u2010catheterisation.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.15329","type":"journal-article","created":{"date-parts":[[2020,12,22]],"date-time":"2020-12-22T10:07:33Z","timestamp":1608631653000},"page":"304-310","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Predictors of need for catheterisation and urinary retention after radical cystectomy and orthotopic neobladder in male patients"],"prefix":"10.1111","volume":"128","author":[{"given":"Saum","family":"Ghodoussipour","sequence":"first","affiliation":[{"name":"Department of Urology USC\/Norris Comprehensive Cancer Center University of Southern California Los Angeles CA USA"},{"name":"Section\u00a0of Urologic Oncology Surgery Rutgers Cancer 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