Comparative Study Between Outcome of Early and Conventional Catheter Removal After Transurethral Resection of Prostate

Rahman, Mohammad Mahfuzur; Gupta, Sudip; Mridha, Nazrul Islam; Wahid, Man; Begum, Fatima

doi:10.3329/bju.v20i2.49660

Cited by 1 publication

(1 citation statement)

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“…Mean hospital stay of 7.9 and 8.7 days were earlier reported in Nigeria [15], [19]. Mean duration of hospital stay of less than 2 days was noted in a study by Rahman et al [27] in Bangladesh similar to an observation made in India by Khan [28] who also observed that day case TURP was feasible in single stage procedures. However, the patients used in his study had small sized glands with consequent smaller resection volumes and relatively shorter resection times.…”

Section: Discussionsupporting

confidence: 66%

Two-Stage TURP as an Option for Treatment of Large Prostates in Resource Poor Environments

et al. 2021

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Transurethral resection of the prostate (TURP) is the gold standard of surgical therapy of benign prostatic hyperplasia (BPH) for prostates <100 ml. This study was carried out to describe our experience with and outcome of staged TURP for large prostates (>100 ml). A review of the records of all the patients who underwent staged TURP for large BPH at a specialist urology center. They had two-stage monopolar resection using a size 26F continuous flow resectoscope and 5% Dextrose water irrigation. Staged-TURP were performed by a single Consultant Urologist under spinal anesthesia. Patients’ age, Co-morbidities, Prostate-specific Antigen (PSA), Abdominal Ultrasound scan (USS) estimated prostate volume, Pre-operative Packed Cell Volume (Pre-op PCV), Post-operative Packed Cell Volume (Post-op PCV), Resection Weight for 1st stage (RW I), Resection Weight for 2nd stage (RW II), Resection Time for 1st stage (RT I), Resection Time for 2nd stage (RT II), blood transfusion were obtained and analyzed. Follow up was for a minimum of 9 months and the outcome and development of complications noted. Statistical analysis was done using the IBM Statistical Package for the Social Sciences (SPSS) version 20.0 (IBM, Chicago, USA). Means and percentages were calculated, and paired sample T test was used to compare variables between 1st stage and 2nd stage. P value < 0.05 was considered significant. Twenty-five patients with a mean age of 72.32±7.98 years were analyzed. Most (88%) were on indwelling Foley’s urethral catheter before surgery. The mean PSA and prostate volume were 25.61±22.08 ng/ml and 221.56±62.78 cm3. There were significant differences between Pre-op PCV and Post-op PCV (p<0.001); RWI and RWII (p<0.001); and RTI and RTII (p<0.001). Nineteen patients (76%) received perioperative transfusion. Most patients voided satisfactorily following catheter removal except one who developed acute urinary retention (AUR). No cases of TUR syndrome, post-operative sepsis, DVT or PE and urethral stricture were recorded. Staged TURP is safe and effective treatment modality for patients with large prostates in the absence of more recent endoscopic options.

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Section: Discussionsupporting

confidence: 66%