Compared with traditional open proctectomy, laparoscopic surgery is associated with less pain, earlier recovery, and better cosmetic outcome, and its long-term oncologic outcomes have been demonstrated. However, the rate of urinary dysfunction after rectal cancer surgery was about 19-38% because of mesorectal excision. The type of drainage is unclear. Some studies show that the rates of urinary tract infection, second catheterization, and urinary symptom are lower with suprapubic catheterization (SPC) than with transurethral catheterization (TUC). Moreover,SPC allows for testing the bladder voiding without drainage removal. Furthermore,SPC using central venous catheter(CVC) is less invasive. Currently, there is lack of randomized controlled trial(RCT) to compare SPC with TUC. Therefore, investigators perform this prospective randomized trial to compare SPC using CVC with TUC in laparoscopic surgery for rectal cancer.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
120
Suprapubic catheterization using central venous catheter(CVC-2 7F) will be performed for patients after laparoscopic surgery for rectal cancer.Suprapubic catheterization is inserted at the end of the procedure. It will be clamped depending on surgeon's specific instruction and removed if the urinary residual is less than 50 cc.
Traditional transurethral catheterization using Foley catheter will be performed for patients.The catheterization is removed on day 5 in patients without complication.
Fujian Provincial Hospital
Fuzhou, Fujian, China
RECRUITINGFujian Provincial cancer Hospital
Fuzhou, Fujian, China
RECRUITINGNanfang Hospital, Southern Medical University
Guangzhou, Guangdong, China
RECRUITINGCatherization time
Time frame: 6 days
Number of catheterization
Time frame: 30 days
Catheter-Associated Urinary Tract Infection
Time frame: 30 days
Pain score
Postoperative pain is recorded using the visual analog scale (VAS) pain score tool from the surgery day to the fifth day after surgery.
Time frame: 5 days
International Prostatic Symptom Score
The International Prostatic Symptom Score is recorded from the day before surgery to the 30th day after surgery.
Time frame: 30 days
Time to first ambulation
Time frame: 7 days
Duration of hospital stay
Time frame: 30 days
Urinary extravasation
Time frame: 30 days
Hematuria
Time frame: 30 days
Catheter obstruction
Time frame: 30 days
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