Study Comparing Urinary Diversion (Transurethral/Suprapubic) After Radical Prostatectomy

Randomized Study Comparing Urinary Diversion by Suprapubic Catheter With Transurethral Catheter in Patients After Radical Prostatectomy

The study aims to show the technical feasibility of the suprapubic urinary diversion after endoscopic extraperitoneal radical prostatectomy (EERPE) and has a greater comfort for the patients with at least the same catheter complication rate in comparison to the urethral urinary diversion.

Patients are randomized 1:1 in the different arms Recording of QoL measured by visual analogue ( pain )scale,EORTC QlQ -C 30 and QLQ - PR 25 questionnaires, incontinence rate, complication rate regarding insufficiency and strictures of vesicourethral anastomoses and urinary tract infection; demand of re-catheterization due to urinary retention and demand of antispasmodics

Inclusion Criteria:

• Adenocarcinoma of the prostate,
• Subjects treated by conventional or robotic assisted laparoscopic prostatectomy
• Be willing/able to adhere to follow up visits

Exclusion Criteria:

• Subjects treated by retropubic or perineal prostatectomy Subjects with known bladder cancer
• Contraindications for anticholinergic drugs
• Waist measurement > 100 cm
• No written informed consent
• Age < 18 years
• Subjects with known narrow-angle glaucoma