The National Prostatectomy Audit: the clinical management of patients during hospital admission

Emberton, Mark; Neal, David E.; Black, Nicholas; Harrison, Michael; Fordham, M.V.P.; McBrien, M. P.; Williams, Richard; McPherson, Klim; Devlin, Hugh

doi:10.1111/j.1464-410x.1995.tb07341.x

Cited by 72 publications

(52 citation statements)

References 15 publications

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“…The National Prostatectomy Audit 3 found that in nearly half of the cases patients only had creatinine or urea checked either at immediate preoperative assessment or on acute admission for urinary retention. Indeed, 196 (3.7%) of this study group had neither test prior to transurethral resection of the prostate.…”

Section: T He British Association Of Urological Surgeons (Baus)mentioning

confidence: 99%

Renal function in men with lower urinary tract symptoms at first presentation to urology out-patient department

Sm²

2004

Ann R Coll Surg Engl

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Aim: Current national guidelines state that it is mandatory to perform an estimation of renal function in all males with lower urinary tract symptoms (LUTS). As national audit evidence suggests this is not general practice, we have carried out a study to assess the value of routine testing of renal function in this group. Patients and Methods: Serum creatinine or urea was measured in 213 consecutive men presenting to the urology out-patient department with lower urinary tract symptoms. Risk factors for renal dysfunction such as large post-void residual volume, proteinuria, microscopic haematuria, diabetes mellitus and cardiovascular disease were noted. Results: Twelve of 213 patients had abnormal results. One 90-year-old had a raised serum urea but was found to have a normal creatinine level. Ten of the remaining 11 patients would have had their renal dysfunction predicted by history, examination or bedside tests. Conclusions: Routine measurement of creatinine or urea in men presenting with LUTS with no other risk factors could be considered purely a health screening test. It is suggested that it should no longer be considered as mandatory, in this situation, but used only if specifically indicated. A urine flow rate would be a more useful test in reaching a diagnosis and planning treatment.

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Section: T He British Association Of Urological Surgeons (Baus)mentioning

confidence: 99%

Renal function in men with lower urinary tract symptoms at first presentation to urology out-patient department

Sm²

2004

Ann R Coll Surg Engl

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“…However, the complications of TURP are also well documented. The National Prostatectomy Audit [1,2] reported a 10% incidence of major inpatient complications, including major bleeding perioperatively (0.7%), and early major haemorrhage requiring return to theatre (0.6%). Over 35% of patients developed complications after discharge from hospital, including clot retention requiring re-admission in 16%.…”

Section: Introductionmentioning

confidence: 99%

Does laser ablation prostatectomy lead to oncological compromise?

et al. 2009

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records, histopathology databases and The British Association of Urological Surgeons Cancer Registry. We recorded the total number of prostate cancers diagnosed per year, number of TURPs performed, Gleason scores and patients outcomes. Of newly diagnosed patients, 82% were allocated to active surveillance, whilst 18% were started on hormone therapy, with no prostate cancer-related deaths over a mean ( SEM , range) follow-up of 49.7 (2.4, 11-81) months. RESULTS TURP CONCLUSIONSTURP mainly samples transitional-zone tissue where tumours are relatively uncommon, and have a good prognosis. Our series of incidental TURP-detected cancers showed an incidence in keeping with published data, and favourable histological and clinical outcomes. We suggest the lack of tissue should not discourage the use of laser prostatectomy surgery.

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“…[13,14,15,16] Although the nosocomial urinary system infection agent microorganisms show variance in the literature, the most commonly seen agent microorganism is reported as E.coli. [12][13][14][15][16]18] An increased multiple antibiotic resistance and in particular increased resistance against quinolones of E. coli is reported. [16,17] Similarly, in our study, E. Coli was the most frequently isolated bacteria, 41 agent microorganisms were isolated in the patients who developed USI.…”

Section: Discussionmentioning

confidence: 99%

“…The risk factors which would affect the postoperative complication rates for TURP are reported as prostate size, histology, prostatectomy duration, preoperative bacteriuria, catheterization, surgeries applied simultaneously, previous prostate surgery. [13,14,16,17] When we look at our study, preoperative catheter use among those factors are the significant risk factors in terms of postoperative nosocomial infection development. In the literature, existence of urinary catheter was found as the most important risk factor for the nosocomial infection.…”

Section: Discussionmentioning

confidence: 99%

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Risk Factors for Urinary Tract Infections in Patients Who Underwent Transurethral Prostatectomy

Budak¹

2016

Ann Clin Anal Med

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ÖzetAmaç: Transüretral prostat rezeksiyonu (TURP) benign prostat hiperplazisinin (BPH) cerrahi tedavisinde hala altın standarttır. Üriner sistem enfeksiyonu bu işlemin arzu edilmeyen komplikasyonlarından biridir. Bu çalışmanın amacı TURP sonrası gelişen nozokomiyal üriner sistem enfeksiyonların oluş-masından sorumlu olan risk faktörlerini incelemektir. Gereç ve Yöntem: Ocak 2008-Haziran 2009 tarihleri arası BPH tanısıyla TUR-P uygulanan yaş ortalaması 67.5±14.1 (49-87 arası) olan 175 hasta çalışmaya dahil edildi. Hastalar nozkomiyal üriner enfeksiyonu olanlar (ÜSE) ve olmayanlar şeklinde 2 gruba ayrıldı. Gruplar preoperatif PSA düzeyleri, prostat biyopsisi, operasyon süresi, rezeke edilen doku miktarı, hastanede kalış süresi ve preoperatif kataterizasyon açısından karşılaştırıldı. Bulgular: Otuzdört (%19,4) hastada nozokomiyal ÜSE saptandı. Nozokomiyal ÜSE grubunda preoperatif kataterizasyonu (p=0,01) risk faktörü açısından istatistiksel olarak anlamlı bulduk. PSA, prostat biyopsisi, operasyon süresi, hastanede kalış süresi ve rezeke edilen doku miktarıyla postoperatif nozokomiyal ÜSE arasında anlamlı bir ilişki tespit etmedik. Tartışma: BPH nedeniyle TURP planlanan kataterizasyonu olan hastalar ayrıntılı biçimde incelenmelidir. Özellikle de preoperatif dö-nemde kataterizasyonlu hastalar operasyon sonrası enfeksiyon açısından yakından takip edilmelidir. Anahtar KelimelerBenign Prostat Hiperplazisi; Transüretral Prostatektomi; Nozokomiyal Enfeksiyon Abstract Aim: Transurethral resection of prostate (TURP) is still the gold standard in the surgical treatment of benign prostatic hyperplasia (BPH). Urinary tract infection is an unwilling complication after the procedure. The aim of this study is to evaluate the risk factors which are responsable for the occurrence of nosocomial urinary system infection (NUSI) after TURP. Material and Method: A total of 175 patients with a mean age of 67.5±14.1 years ( ranged from 49 to 87 years) underwent transurehral prostatectomy for BPH in between January 2008 and June 2009. After the patients were divided two groups as NUSI and non-NUSI, Analyzse of the clinical parameters of preoperative PSA, previous prostate biopsy, operation time, resected tissue weight, hospitalization period and preoperative catheterization with the nosocomial urinary system infections was done. Results: NUSI was found in thirty-four (19.4%) patients. Preoperative catheterization (p=0.01) were found as the statistically significant risk factors in the group with nosocomial USI. There was no statistically significant correlation between the PSA, prostate biopsy, operation time, hospitalization period and resected tissue weight with the development of postoperative NUSI. Discussion: The patients with catheterization who are candidates of transurethral prostatectomy for the treatment of BPH should be examined detaily preoperatively period. Especially the patients who were preoperative catheterization should be followed up after the treatment for postoperative infection.

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The National Prostatectomy Audit: the clinical management of patients during hospital admission

Cited by 72 publications

References 15 publications

Renal function in men with lower urinary tract symptoms at first presentation to urology out-patient department

Renal function in men with lower urinary tract symptoms at first presentation to urology out-patient department

Does laser ablation prostatectomy lead to oncological compromise?

Risk Factors for Urinary Tract Infections in Patients Who Underwent Transurethral Prostatectomy

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