Do we need to do a cystogram after radical prostatectomy?
Ischia J.1, Lindsay S.2 1Bendigo Hospital, Bendigo Health Care Group, Victoria, Australia, Department of Urology, North Adelaide, Australia, 2Bendigo Hospital, Bendigo Health Care Group, Victoria, Australia, Department of Urology, Bendigo, Australia Introduction & Objectives: Improvements in surgical technique of Radical Prostatectomy have allowed the length of postoperative catherisation to be reduced dramatically over the past 20 years. Today, many surgeons perform a cystogram to ensure the anastomosis is watertight before an “early” (Day 7 or less) trial of void (TOV). We aim to show that achieving an intraoperative watertight anastomosis may preclude the need for routine cystogram prior to TOV. Material & Methods: Between 31st May 1999 and 29th of February 2004, we performed a prospective study of 68 consecutive patients who underwent radical prostatectomy by a single surgeon. We tested the vesicourethral anastomosis for watertightness intraoperatively by instilling 250mL of Normal
