Suprapubic tube compared with urethral catheter drainage after robot-assisted radical prostatectomy: A systematic review and meta-analysis

• Published in: Asian journal of surgery Vol. 42; no. 1; pp. 71 - 80
• Main Authors: Li, Mei-xuan, Cheng, Peng, Yao, Liang, Li, Hui-juan, Xun, Yang-qin, Yan, Pei-jing, Han, Cai-wen, Lu, Cun-cun, He, Wen-bo, Wang, Meng, Liu, Rong, Guo, Tian-kang, Yang, Ke-hu
• Format: Journal Article
• Language: English
• Published: China Elsevier Taiwan LLC 01.01.2019; Elsevier
• Subjects: Bladder drainage; Databases, Bibliographic; Drainage - instrumentation; Drainage - methods; Humans; Intubation - instrumentation; Intubation - methods; Male; Pain, Postoperative - prevention & control; Prospective Studies; Prostate cancer; Prostatectomy; Prostatectomy - methods; Randomized Controlled Trials as Topic; Robotic; Robotic Surgical Procedures - methods; Software; Suprapubic; Time Factors; Urethral catheterization; Urinary Catheters; Urethral catheterization; Bladder drainage; Prostatectomy; Prostate cancer; Suprapubic; Robotic
• ISSN: 1015-9584; 0219-3108
• DOI: 10.1016/j.asjsur.2018.08.004

This meta-analysis aimed to compare the effectiveness of the suprapubic drainage and urethral catheterization after robot-assisted radical prostatectomy (RARP). PubMed, EMBASE, Cochrane Library and China Biology Medicine disc were systematically researched from their inception to December 2017. We selected randomized controlled trials, cohort studies comparing suprapubic tube with urethral catheter drainage in RARP patients. A meta-analysis was performed using R software, and a random-effects model was used to pool the effect size. Ten studies met eligibility criteria (N = 1248), including 3 RCTs, 3 prospective studies and 4 retrospective studies. Suprapubic drainage was associated with a reduction in the penile pain (39.64% [44 of 111]) compared with the UC group (62% [106 of 171]) (pooled RR 0.57, 95% CI 0.31 to 1.02, P = 0.05). However, two groups showed similarity in the overall pain (Postoperative days 1–3: pooled MD –0.26, 95% CI 1.34 to 0.83, P = 0.64; Postoperative days 6–7: pooled MD –0.50, 95% CI –1.54 to 0.54, P = 0.34), urinary incontinence (pooled RR 0.80, 95% CI 0.56 to 1.15, P = 0.23), bladder neck contracture (pooled RR 0.77, 95% CI 0.39 to 1.53, P = 0.45), urinary retention (pooled RR 0.88, 95% CI 0.29 to 2.70, P = 0.82), anastomotic stricture (P = 0.15), urethral stricture (P = 0.84) and bacteriuria (P = 0.40). The present meta-analysis showed that suprapubic drainage may be associated with less penile pain, but there was no conclusive evidence that suprapubic drainage was advantaged in other outcomes. Due to the low quality and small quantity of the available comparative studies, more high-quality randomized trials are needed to provide stronger evidence of the benefits of the two routes.