Neoplasms

Digestive System Diseases

All Conditions

Rectal Neoplasms

Colorectal Neoplasms

Intestinal Neoplasms

Gastrointestinal Neoplasms

Digestive System Neoplasms

Gastrointestinal Diseases

Intestinal Diseases

Rectal Diseases

Suprapubic catheterization using central venous catheter(CVC-2 7F) will be performed for patients in this group.

Transurethral catheterization using Foley catheter will be performed for patients in this group.

Suprapubic catheterization using central venous catheter(CVC-2 7F) will be performed for patients after laparoscopic surgery for rectal cancer.Suprapubic catheterization is inserted at the end of the procedure. It will be clamped depending on surgeon's specific instruction and removed if the urinary residual is less than 50 cc.

Suprapubic catheterization using central venous catheter(CVC-2 7F)

Traditional transurethral catheterization using Foley catheter will be performed for patients.The catheterization is removed on day 5 in patients without complication.

Transurethral catheterization using Foley catheter

Guoxin Li, M.D., Ph.D.

jun Yan, M.D., Ph.D.

Fangqin Xue, M.D.

fangqin xue, M.D.

Weidong Zang, M.D.

Chunkang Yang, M.D.

Jun Yan, M.D., Ph.D.

Compared with traditional open proctectomy, laparoscopic surgery is associated with less pain, earlier recovery, and better cosmetic outcome, and its long-term oncologic outcomes have been demonstrated. However, the rate of urinary dysfunction after rectal cancer surgery was about 19-38% because of mesorectal excision. The type of drainage is unclear. Some studies show that the rates of urinary tract infection, second catheterization, and urinary symptom are lower with suprapubic catheterization (SPC) than with transurethral catheterization (TUC). Moreover，SPC allows for testing the bladder voiding without drainage removal. Furthermore，SPC using central venous catheter(CVC) is less invasive.

Currently, there is lack of randomized controlled trial(RCT) to compare SPC with TUC. Therefore, investigators perform this prospective randomized trial to compare SPC using CVC with TUC in laparoscopic surgery for rectal cancer.

Multicenter Study on Suprapubic Catheterization Versus Transurethral Catheterization in Laparoscopic Surgery for Rectal Cancer

Multicenter Study on Comparing Suprapubic Catheterization Versus Traditional Transurethral Catheterization in Laparoscopic Surgery for Rectal Cancer

Postoperative pain is recorded using the visual analog scale (VAS) pain score tool from the surgery day to the fifth day after surgery.

The International Prostatic Symptom Score is recorded from the day before surgery to the 30th day after surgery.

Fujian Cancer Hospital

Fujian Provincial Hospital

Nanfang Hospital, Southern Medical University

Infections

Symptoms and General Pathology

Communicable Diseases

Intervention:suprapubic catheterization after rectal resection with low anastomosis. Evaluate the urinary tract infection rate on the four days postoperative.

Intervention:transurethral catheterization after rectal resection with low anastomosis. Evaluate the urinary tract infection rate on the four days postoperative.

Experimental Arm: Suprapubic catheterization after rectal resection with low anastomosis for cancer in males

suprapubic catheterization

Active comparator: Transurethral catheterization after rectal resection with low anastomosis for cancer in males

transurethral catheterization

Pr Jean Luc FAUCHERON

The purpose of this study is to compare the urinary tract infection rate on the four postoperative day between the 2 groups of patients who have undergone total mesorectal excision for cancer and low anastomosis, with either suprapubic or transurethral catheterization.

Suprapubic Versus Transurethral Catheterization After Rectal Resection With Low Anastomosis for Cancer in Males

The urinary tract infection, defined as significant bacteriuria ( \> 104 CFU / mL) and pyuria (\> 6 white blood cells per high power field) in urine samples obtained immediately after removal of the urethral catheter or clamping suprapubic catheter and removing the fourth postoperative day.

visual analogue scale (0-10) for both the abdomen and the urethra (a measure daily until hospital discharge )

Patient satisfaction : very, or moderately dissatisfied , unchanged , slightly , moderately , or very disappointed at the exit of the Fact- C hospital and EQ-5D - 3L at 30 days and 6 months.

Estimated cost of complications, urologic surgery, medication , hospitalization, additional consultations and readmissions.

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
Multicenter Study on Suprapubic Catheterization Versus Transurethral Catheterization in Laparoscopic Surgery for Rectal Cancer	NCT02728427	Rectal Cancer Surgery	Suprapubic cath... Transurethral c...	18 Years -	Nanfang Hospital, Southern Medical University
Suprapubic Versus Transurethral Catheterization After Rectal Resection With Low Anastomosis for Cancer in Males	NCT02922647	Infection Cancer	suprapubic cath... transurethral c...	18 Years -	University Hospital, Grenoble

Spots Global Cancer Trial Database for transurethral catheterization