DOI: http://dx.doi.org/10.18203/2349-3933.ijam20212855

Post-operative day 2 versus post-operative day 4 foley catheter removal after trans urethral resection of prostate

Vedamurthy Reddy Pogula, Ershad Hussain Galeti, Mriganka Deuri Bharali, Bhargava Reddy Kanchi

Abstract


Background: Usually after TURP surgery for BPH, a three-way foleys catheter is placed transurethrally and removed post-operative day 4. This study done at our institute is to help decide the interval for removal of foley catheter following TURP, which is most beneficial to the patients. The objective is to know whether the POD-2 removal of the catheter in post TURP patients will be beneficial compared to the traditional POD-4 removal.

Methods: This is a prospective study on 100 patients with BPH who underwent TURP. Patients were assigned to POD-2 and POD-4 groups. A standard TURP was performed on all the patients. After removing the catheter on POD-2 and POD-4, the patients were observed, and outcomes were carefully recorded in the two groups.

Results: The highest incidence of the disease was in the age group of 60 - 75 years (70%). The majority of patients had nocturia present in 80 out of 100 patients (80%).55% of patients had grade III prostatomegaly. Most of the patients, 55 (55%), had prostate volume between 30 and 50 grams. No statistical significance noted in terms of retention of urine, post-void residual urine. The average duration of hospital stay post-surgery for group I was 3.7 days, and in group II was 5.1 days which is statistically significant.

Conclusions: Our study shows that early catheter removal after two days following Transurethral Resection of Prostate (TURP) is safe, cost-effective to the patient, reduces the post-operative hospital stay. 


Keywords


Benign prostatic hyperplasia, Transurethral resection of prostate, Catheter removal, Urinary retention

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References


Netto NR, de Lima ML, Netto MR. Evaluation of patients with bladder outlet obstruction and mild International Prostate Symptom Score followed up by watchful waiting. Urology. 1999;53(2):314-6.

Mebust WK, Holtgrewe HL, Cockett ATK, Peters PC. Transurethral prostatectomy: immediate and postoperative complications. A cooperative study of 143 participating institutions evaluating 3,885 patients. J Urol .1989;141:243-7.

Rasswweiler J, Teber D, Kuntz R, Hofmann R. Complications of transurethral resection of the prostate (TURP) – incidence, management, and prevention. Eur Urol. 2006;50:969-79.

Srinivasan BK, Radhakrishnan R. Prospective study on removal of urethral catheter on post op day 2 vs conventional day 4 after Turp. Journal of Dental and Medical Sciences. 2015;14(5):30-2.

Gordon NSI. Catheter-free same day surgery transurethral resection of the prostate. J Urol. 1998;160:1709-12.

Mueller EJ, Zeidmann EJ, Desmond PM, Thompson IM, Optenberg SA, Wasson J. Reduction of length of stay and cost of transurethral resection of the prostate by early catheter removal. Br J Urol. 1996;78:893-6.

Kunin CM, McCormack RC. Prevention of catheter-induced urinary-tract infections by sterile closed drainage. N Engl J Med. 1966;274:1156-61.

Cherrie RJ, Young RA, Cattolica EV. The safety of overnight hospitalization for transurethral prostatectomy: a prospective study of 200 patients. J Urol. 1997; 57:531-3.

Mueller EJ, Zeidmann EJ, Desmond PM, Thompson IM, Optenberg SA, Wasson J. Reduction of length of stay and cost of transurethral resection of the prostate by early catheter removal. Br J Urol. 1996;78:893-6.

Kunin CM, McCormack RC. Prevention of catheter-induced urinary-tract infections by sterile closed drainage. N Engl J Med. 1966;274:1156-61.

Glynn RJ, Campion EW, Bouchard GR. The development of BPH among the volunteers in normative aging study. Am J Epidemiology. 1985;121(1):78-90.

Mamo GJ, Cohen SP. Early catheter removal versus conventional practice in patients undergoing transurethral resection of prostate. Urology. 1991;37(6):519-22.

Nakagawa T, toguri AG. Early catheter removal following transurethral prostatectomy: A study of 431 patients. Med Princ Pract. 2006;15:126-30.

Chander J, Vanitha V, Lal P. Transurethral resection of the prostate as catheter-free day-care surgery. Brit J Urol Int. 2003;92(4):422-5.

Borboroglu PG, Kane CJ, Ward JF, Roberts JL, Sands JP. Immediate and postoperative complications of transurethral prostatectomy in the 1990s. J Urol. 1999;162:1307-10.

Kirollos MM. Length of postoperative hospital stay after transurethral resection of prostate. Ann R Coll Surg Engl. 1997;79(4):284-8.

Dodds L, Lawson PS, Crosthwaite AH. Early catheter removal: a prospective study of 100 consecutive patients undergoing transurethral resection of the prostate. Br J Urol. 1995;75(6):755-7.

Muzzonigro G, Milanese G, Minardi D. Safety and efficacy of transurethral resection of prostate glands up to 150 ml: a prospective comparative study with 1 year of follow up. J Urol. 2004;172(2):611-5.

Van Venrooij GE, Van Melick HH, Eckhardt MD. Correlations of urodynamic changes with changes in symptoms and well-being after transurethral resection of the prostate. J Urol. 2002;168(2):605-9.