Patients with grade 2-3 leakage on cystogram have a higher risk of acute urinary retention after early catheter removal and a higher risk to develop a urethra stricture which means that they will have to undergo an urethrotomy later. By predicting the risk of lekkage, we can avoid unnecessary cystograms and perform a cystogram in a target population (preoperative LUTS and prostate volume >50cc). Thanks to this selection, the health care system and the patient will be the winners:
- less cystograms: cystogram costs are estimated on 190 euro per cystogram in our institute. Avoiding 38% of cystograms using our proposed indicators would imply a mean cost reduction of 72.20 euros per patient cost while reducing postoperative catheter time to one week in 12% that will show low grade leakage at first cystogram but will have their TUC removed regardless.
- less complications: complications as acute urine retention, urethra stricture followed by urethrotomy are a burden not only for the patient (considering the quality of life) but also for the health care system (financial burden, burden on capacity of the operating rooms/hospitalization ect)
Written By: Corinne Tillier, Chair EAUN Scientific Congress Office, European Association of Urology Nurses, Department of Urology, Netherlands Cancer Institute, Amsterdam, The Netherlands
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