2025/03/01 by Jean‐Luc Faucheron, GRECCAR 10 Study Group, J-L Faucheron +26 · 1 voice
Medicine · #Bladder and Urothelial Cancer Treatments #Colorectal Cancer Surgical Treatments #Pelvic floor disorders treatments
paper · doi:10.1093/bjs/znae315
openalex publication_date 2025/03/01 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/29
According to a recent literature review, the optimal duration of urinary drainage after rectal cancer surgery is unclear1, particularly for male patients. Early catheter removal probably reduces the risk of urinary tract infection2, but Lee et al.3 showed that urinary catheter removal on day 1 or 2 is an independent risk factor for acute urinary retention when compared with removal on day 5. In a multicentre, prospective, open-label, two-parallel-group, randomized trial, the rate of urinary tract infection in two groups of male patients having undergone laparoscopic total mesorectal excision for cancer with low anastomosis and bladder drainage by transurethral or suprapubic catheterization in an enhanced recovery after surgery (ERAS) programme was compared4; the GRECCAR 10 study found that 19 of the 208 patients (9.1%) with pretherapeutic normal voiding had urinary tract infection at postoperative day 4, with a median catheterization duration of 4 (interquartile range 3–5) days. Precise daily data on urinary symptoms, urinary complications, and urinary function after the operation were prospectively collected.