Relationship between Preoperative Risk Factors and Need for Blood Transfusion in Transurethral Resection Of The Prostate (TURP)
DOI:
https://doi.org/10.51985/Keywords:
Aged; Blood Transfusion; Hemoglobin; Prostatic Hyperplasia; Transurethral Resection of ProstatAbstract
Objective: To assess the incidence of blood transfusion after transurethral resection of the prostate (TURP) and to examine the relationship between preoperative risk factors and need for blood transfusion.
Study design and Setting: Descriptive study conducted in the Department of Urology, The Indus Hospital and health network, Karachi from 1st Sep’ 2024 to 28th Feb’ 2025.
Methodology: Sixty patients who underwent TURP after approval by the IRB. Patients with bleeding diatheses, anticoagulant use within the previous 2 weeks prior to surgery or preoperative treatment with 5-alpha reductase inhibitors were excluded. The data was written on predesigned proforma and analyzed by using SPSS V.26. Risk factors were evaluated in patients who needed transfusion. Univariate analysis was performed by descriptive statistics and Chi-square or Fischer’s exact test as appropriate, the level of significance adopted being p<0.05.
Results: Sixty patients were enrolled with a mean age of 67 ± 7.29 years. Hemoglobin and hematocrit decreased from 13.1 ± 1.42 g/dl and 39.7 ± 4.27% preoperatively to 12.3 ± 1.61 g/dl and 37.1 ± 4.68% postoperatively, with median reductions of 0.7 g/dl and 2.35%, respectively. Hypertension (28.2%) and diabetes (15.4%) were the most common comorbidities; 39.7% had none. Only one patient (1.7%) required transfusion, associated with indwelling catheter, prior TURP, short symptom duration, and prostate size of 40–60 g. No significant association between risk factors and transfusion was observed.
Conclusions: The rate of transfusion after TURP was low, Universal cross-matching and prearrangement of blood in all patients are probably not indicated
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