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Updated: Jul 3, 2026

Retzius-Sparing Robot-Assisted Radical Prostatectomy
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Published on: May 19, 2022

Does open radical retropubic prostatectomy decrease the risk of acute urinary retention?

Basir Tareen1, Guilherme Godoy, Juliana Laze

  • 1Department of Urology, NYU School of Medicine, New York 10016, USA.

Urology
|July 8, 2008
PubMed
Summary
This summary is machine-generated.

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Acute urinary retention (AUR) is rare after open radical prostatectomy (ORRP). This study found a 0% risk of spontaneous AUR one month post-catheter removal, suggesting ORRP may benefit men at high risk for retention.

Area of Science:

  • Urology
  • Surgical Oncology
  • Men's Health

Background:

  • Acute urinary retention (AUR) is a common concern in aging men, often linked to prostatic obstruction.
  • Open radical prostatectomy (ORRP) is a surgical treatment for prostate cancer.

Purpose of the Study:

  • To assess the incidence and causes of AUR in men following open radical prostatectomy (ORRP).

Main Methods:

  • A questionnaire was distributed to 1361 men who underwent ORRP, inquiring about post-operative catheter reinsertion.
  • Follow-up data were collected for up to 84 months, with phone interviews to determine reasons for reinsertion.

Main Results:

  • A 69.9% response rate was achieved from 952 participants.
  • No instances of spontaneous AUR requiring catheter reinsertion were reported one month after initial catheter removal.

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  • Reasons for reinsertion included anastomotic stricture/meatal stenosis management (68), immediate post-operative AUR (14), and elective procedures (10).

    • Conclusions:

    • The risk of spontaneous AUR one month after catheter removal post-ORRP is negligible (0%).
    • ORRP may offer an unrecognized clinical advantage for men predisposed to AUR, particularly those with lower urinary tract symptoms or enlarged prostates.