Outcome of Early Removal of Urinary Catheter after Transurethral Resection of Prostate (TUR-P)
DOI:
https://doi.org/10.51985/GFXM9719Keywords:
Trans-urethral resection of Prostate, Benign Prostatic HyperplasiaAbstract
Objective: To determine the outcome of early removal of urinary catheter, and predict the possibility of TUR-P as a day
care surgery, in terms of reduced hospital stay.
Study Design & Setting: It was a cross sectional study design with non-probability sampling conducted at Department
of Urology, Rawalpindi medical college from January to July 2017.
Methodology: Total 190 patients fulfilled inclusion and exclusion criteria were selected for the study. Patient underwent
TUR-P followed by catheter irrigation. Time was noted as ‘zero’ hour. The color of the effluent was grossly monitored.
When the effluent became clear the catheter was removed and time noted. After successful voiding, patient was discharged
and time noted. Success is if the duration from time ‘zero’ hours to catheter removal is within 24 hours and duration of
hospital stay is within 36 hours. A time line greater is considered to be failure. Data analysis was done using SPSS version
15.0. For quantitative variables like age, time of catherization and hospital stay, median and standard deviation was
calculated. For qualitative variables like success, frequency and percentages were calculated. Groups and tables were made
to present the data.
Results: Mean duration of catherization after TUR-P is 9.67 ± 2.36 (hrs. min). Hospital stay was 26.73 ± 6.24 hours.
Frequency and percentage of successful outcome was 152 out of 190 patients and 82.6% respectively.
Conclusion: Our study favors that in selected patients TUR-P can be performed with shorter hospital stay with minimal
postoperative complications. This will benefit the patient in terms of reducing comorbids and considerable departmental
financial savings.
References
Pujari NR. Transurethral Resection of Prostate is Still the
Gold Standard for Small to Moderate Sized Prostates. J Integr
Nephrol Androl 2016;3:68-9.
Wada N, Kikuchi D, Tateoka J, Abe N, Banjo H, Tsuchida
M, Hori J, Tamaki G, Kita M, Kakizaki H. Long-term
symptomatic outcome after transurethral resection of the
prostate: A urodynamics-based assessment. International
Journal of Urology. 2019;26(11):1071-5.
J. Chander, V. Vanitha, P. Lal, V.K. Ramteke. Transurethral
resection of the prostate as catheter-free day-care surgery,
BJUI 2003; 94:422-425.
Lokeshwar SD, Harper BT, Webb E, Jordan A, Dykes TA,
Neal Jr DE, Terris MK, Klaassen Z. Epidemiology and
treatment modalities for the management of benign prostatic
hyperplasia. Translational andrology and urology.
;8(5):529.
Nakagawa T, Toguri AG: Early catheter removal following
transurethral prostatectomy: A study of 431 patients. Med
Princ Pract 2006; 15: 126-130.
Wang JY, Liu M, Zhang YG. Relationship between lower
urinary tract symptoms and objective measures of benign
prostatic hyperplasia: a Chinese survey. Chin Med J (Engl).
;121(20):2042-5.
Kerna NA, Nwokorie U, Flores JV, Holets HM, Akabike LU,
Chen MH, Solomon EO, Pruitt KD, Waugh S. Benign Prostatic
Hyperplasia (BPH): Perennial Plague of the Prostate. EC
Clinical and Medical Case Reports. 2021;4:53-61.
Langan RC. Men's Health: Benign Prostatic Hyperplasia. FP
essentials. 2021;503:18-22.9. Roehrborn CG, Siami P, Barkin J, Damião R, Major-Walker
K, Morrill B. The effects of dutasteride, tamsulosin and
combination therapy on lower urinary tract symptoms in men
with benign prostatic hyperplasia and prostatic enlargement:
-year results from the CombAT study. J Urol. Feb
;179(2):616-21; discussion 621.
Sterling J, Farber N, Gupta NK. Comparing outcomes of
medical management and minimally invasive surgical
techniques for lower urinary tract symptoms due to BPH.
Current urology reports. 2019;20(6):1-7.
Burke N, Whelan JP, Goeree L, Hopkins RB, Campbell K,
Goeree R, et al. Systematic review and meta-analysis of
transurethral resection of the prostate versus minimally invasive
procedures for the treatment of benign prostatic obstruction.
Urology. 2010;75(5):1015-22
Prasopsuk S, Tunruttanakul S. Safety of a first-day catheter
removal after transurethral resection of the prostate (TURP):
a propensity score-matched historical control study. Insight
Urology. 2021;42(1):40-5.
Cheuk Fan Shum, Amit Mukherjee, Chang Peng Colin Teo.
Catheter-free discharge on first postoperative day after bipolar
transurethral resection of prostate: Clinical outcomes of 100
cases, International Journal of Urology 2013; 20(12).
Shrotri NC. How to Perform a Good TURP. In Practical Tips
in Urology 2017 (pp. 487-491). Springer, London.
Okeke LI. Day case transurethral prostatectomy in Nigeria.
West Afr J Med. 2004 Apr-Jun;23(2):128-30.
Lim KB. Epidemiology of clinical benign prostatic hyperplasia.
Asian journal of urology. 2017 Jul 1;4(3):148-51.
Strebel RT, Kaplan SA. The state of TURP through a historical
lens. World Journal of Urology. 2021 Mar 27:1-8.
Braeckman J, Denis L. Management of BPH then 2000 and
now 2016–From BPH to BPO. Asian journal of urology. 2017
Jul 1;4(3):138-47.
Laucirica O, Catalá V, Vilanova JC. Anatomy of the prostate.
In Atlas of Multiparametric Prostate MRI 2018 (pp. 23-46).
Springer, Cham.
Goddard JC. The history of the prostate, part one: say what
you see. Trends in Urology & Men's Health. 2019;10(1):28-
Descazeaud A, Robert G, de La Taille A. Management of the
bladder outlet obstruction associated with BPH in patients
with special circumstances and/or complications. Progres en
Urologie: Journal de L'association Francaise D'urologie et de
la Societe Francaise D'urologie. 2018;28(15):868-74.
D’Agate S, Wilson T, Adalig B, Manyak M, Palacios-Moreno
JM, Chavan C, Oelke M, Roehrborn C, Della Pasqua O.
Impact of disease progression on individual IPSS trajectories
and consequences of immediate versus delayed start of
treatment in patients with moderate or severe LUTS associated
with BPH. World journal of urology. 2020;38(2):463-72.
Bae WJ, Ahn SG, Bang JH, Bae JH, Choi YS, Kim SJ et al.
Risk Factors for Failure of Early Catheter Removal After
Greenlight HPS Laser Photoselective Vaporization
Prostatectomy in Men With Benign Prostatic Hyperplasia.
Korean J Urol. 2013;54(1):31-5.
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Copyright (c) 2021 H. Mazahir Zulfiqar, Sajjad Ahmed, Zein UL Amir, M. Afzal Farooqui
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