Suprapubic Versus Transurethral Catheterization After Rectal Resection With Low Anastomosis for Cancer in Males (GRECCAR10)

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.