Transurethral resection versus intermittent catheterization in patients with retention after combined brachytherapy/external beam radiotherapy for prostate cancer: Transurethral resection

摘要

Prostate brachytherapy has become an accepted procedure for treating localized prostate cancer. It is typically prescribed as monotherapy for low risk patients and combined with external beam radiation therapy (EBRT) for those with high risk disease. While brachytherapy is a minimally invasive procedure, it is not without early and late morbidity. Side effects occurring immediately after the procedure include bleeding (hematuria and perineal bruising) and urinary retention. Hematuria usually resolves with catheter drainage. At many centers the urinary catheter is removed within the first 24 hours. Thus, the definition of early urinary retention usually requires that the catheter be indwelling for more than 24 hours or be reinserted after initial removal.