Suprapubic Versus Transurethral Catheterization After Rectal Resection With Low Anastomosis for Cancer in Males
Suprapubic Versus Transurethral Catheterization After Rectal Resection With Low Anastomosis for Cancer in Males
The urpose 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.
Inclusion Criteria:

 -  Male patients of at least 18 years of age

 -  Histologically proven rectal adenocarcinoma

 -  Stage T1-4 Nx Mx

 -  With or without neoadjuvant treatment

 -  TME and low anastomosis (colorectal or coloanal, stapled or handsewn)

 -  With or without loop ileostomy

 -  Open or laparoscopic approach

 -  Patient and doctor have signed a study specific informed consent form

 Exclusion Criteria:

 -  Colonic and upper third rectal cancer (No or Partial Mesorectal Excision)

 -  Abdominoperineal resection

 -  Associated prostate, and/or seminal glands and/or bladder resection

 -  Infected tumour, Emergency surgery

 -  Epidural analgesia

 -  Patient with antibiotic therapy (other than prophylaxis)

 -  Previous treated/untreated known prostate or bladder carcinoma

 -  Patient with symptomatic preoperative voiding dysfunction (IPSS score >19)

 -  Medical history of bladder catheterization for obstruction, or urethral surgery

 -  Patient necessitating urinary output monitoring (impaired renal function etc)

 -  Patient deprived of liberty or under guardianship or incapable of giving consent

 -  Against the usual indications of suprapubic drainage and / or urethral sounding any
 known allergies to medical device materials. (p. ex. latex) and in general the known
 allergies to sterilizing agents (particularly oxide ethylene and its derivatives.