Incidence of Peyronie’s Disease After Robot-Assisted Radical Prostatectomy in Men with Post-Operative Suprapubic Catheters and no Urethral Foley Catheters
Radical prostatectomy has been associated with an increased incidence of Peyronie's disease (PD). It has been hypothesized that the use of an indwelling foley catheter in the post-operative period increases the incidence of PD. The reported rate of PD in this population is estimated to be near 15%.Our objective was to estimate the incidence of PD after robot-assisted radical prostatectomy (RARP) in a cohort of prostate cancer men who had a suprapubic tube (SPT) rather than a foley catheter in the immediate post-operative period.
We analyzed our institutional database for men who underwent RARP from January 2008 to February 2016. Men who had an SPT and no foley for bladder drainage in the immediate post-operative period and who were covered by our institution's subsidiary health insurance provider were included. Incident of PD was defined as confirmed diagnosis, or received medical or surgical treatment for PD. Descriptive statistics were performed and reported.
Between January 2008 and February 2016, there were 3,820 RARPs performed at our institution. Of these, 381 met our inclusion criteria. Among these men, there were 7 reported cases of new PD, for an incidence of 7/381, or 1.84%. Average follow up was 43±23 months, and preoperative SHIM was 17.5±8.3. The cohort's full demographics and statistics are presented in Table 1.
Men in our cohort who underwent RARP and had an SPT in the immediate post-operative period had a lower incidence of PD than described in the published literature of men who received a foley catheter post-operatively. Prospective studies will be beneficial to further investigate this relationship.