Transurethral Catheter Removal after Bilateral Orchiectomy for Prostatic Carcinoma Associated with Acute Urinary Retention

Abstract

In the period 1986–1990 a total of 69 patients with advanced prostate cancer and urinary retention underwent orchiectomy followed by removal of the indwelling catheter during the 3 month/ postoperative period. The mean follow-up time was 32 months. Regarding urination after catheter removal the success-rate was 62% (43/69) and 84% of these patients were satisfied with the procedure. For these 43 patients the median time without the catheter was 21.5 months. Eleven patients with success developed a new attack of urinary retention. Bladder catheter removal during 3 months after orchiectomy for patients with advanced prostate cancer and urinary retention is recommended.

Keywords:

• prostatic carcinoma
• orchiectomy
• urinary retention
• bladder catheter