TITLE:
Safety of Overnight Hospitalization after Transurethral Resection of Prostate
AUTHORS:
Sarwar N. Mahmood, Ismaeel Aghaways
KEYWORDS:
Benign Prostatic Hyperplasia, Catheter Removal, Length of Hospital Stay, Transurethral Resection of Prostate
JOURNAL NAME:
Open Journal of Urology,
Vol.6 No.1,
January
28,
2016
ABSTRACT: Background: Monopolar
transurethral resection of prostate has long been a standard method of
managements of benign prostatic hyperplasia. The safe and superior efficacy of
transurethral resection of prostate (TURP) always argues strongly for
maintaining it as the primary mode of therapy for patients with benign
prostatic hyperplasia (BPH). There is a trend toward early catheter removal
after transurethral resection of prostate (TURP) even to the extent of
performing it as a day case. We explored the safety and feasibility of early
catheter removal and discharging the patient without catheter after TURP.
Materials and methods: Forty patients who underwent monopolar TURP were
included in a prospective study. The decision to remove catheters on the first
morning after surgery was based on the color of the catheter effluent, absence
of clots, normal vital signs and adequate urine output. Patients who voided successfully
were discharged on the same day as catheter removal. Results: Among the forty
patients whose catheters were removed on first postoperative day, 38 patients
(95%) voided successfully, and were discharged on the same day. However, two
out of forty patients (5%) were recatheterized due to urethral discomfort
during micturition. The catheter was removed on the next day. Mean overall
duration of catheterization was 18.36 hours, and overall length of patient
hospitalization was 21.68 hours. Conclusions: Overnight hospitalization and
early catheter removal after transurethral prostatectomy are an appropriate,
safe and effective way of patient care with minimal morbidity.