The Safety of Overnight Hospitalization for Transurethral Prostatectomy: A Prospective Study of 200 Patients

Cherrie, Roderic J.; Young, Roberta A.; Cattolica, Eugene V.

doi:10.1016/s0022-5347(01)65194-2

Cited by 15 publications

(23 citation statements)

References 6 publications

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“…In their group catheters were removed on postoperative day in 77% of the patients and 86% of them voided successfully. In a recent prospective study, the catheters were removed in 78% of the patients on postoperative day 1 and 80% of these patients were discharged home without a catheter on the same day [2]. Our results support these previous findings that catheter removal on postoperative day 1 is a reasonable choice.…”

Section: Discussionsupporting

confidence: 88%

“…Early catheter removal after transurethral surgery has been practised in a number of reports and attempts have been made to determine the safety and efficacy of this approach [2][3][4][5][6][7][8]. Studies reported that, in certain patients with certain requirements, early catheter removal did not increase morbidity but reduced hospital stay and as a result the cost of TURP [2][3][4][5][6][7][8].…”

Section: Discussionmentioning

confidence: 99%

“…Although TURP provides indisputable efficacy, in recent years issues of cost, morbidity and complications have lead to the development of new surgical treatment modalities such as transurethral needle ablation, thermotherapy, laser ablation and vaporization. Lengthy hospital stays due to the necessity of postoperative catheterization is considered to be the cost disadvantage of TURP when compared with new treatment methods [2]. This disadvantage can be overcome by means of early catheter removal after TURP when it is appropriate and safe.…”

Section: Introductionmentioning

confidence: 99%

“…Previous attempts have been made to determine the feasibili- ty and safety of this approach. Catheter removal on postoperative day 2, on postoperative day 1 and day-case prostatectomy have been found to be applicable to some extent in a group of patients with certain requirements [2][3][4][5][6][7][8]. Though results are encouraging, we need more data to address this issue.…”

Section: Introductionmentioning

confidence: 99%

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Early Catheter Removal following Transurethral Prostatectomy:Overnight Catheterization

et al. 2002

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Objective: Our aim was to determine the safety and feasibility of catheter removal on the first morning after transurethral prostatectomy. Methods: Fifty-four patients who underwent transurethral prostatectomy were included in a prospective study. The decision to remove the 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: Catheters were removed in 43 (79.6%) patients on postoperative day 1. Of these patients 40 (93%) voided successfully, however 3 of them required recatheterization due to bleeding or urinary retention. The criteria for catheter removal were not met in 11 patients and their catheters were removed on postoperative day 2 in 2 and on postoperative day 3 in 9. The mean length of hospital stay after surgery was 1.74 days for the entire group and 1.41 days for those in whom the catheter was removed on postoperative day 1. Conclusion: Overnight catheterization after transurethral prostatectomy seems to be a feasible approach without leading to significant morbidity in selected patients.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Early Catheter Removal following Transurethral Prostatectomy:Overnight Catheterization

et al. 2002

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“…Lengthy hospital stays have been considered to be a cost disadvantage of transurethral resection of prostate (TURP) when compared with newer treatments [1] . This disadvantage can be overcome by shortening the duration of postoperative catheterization.…”

Section: Introductionmentioning

confidence: 99%

Early Catheter Removal following Transurethral Prostatectomy: A Study of 431 Patients

Nakagawa

Toguri

2006

Med Princ Pract

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Objectives: To assess and review catheter removal on the first day after transurethral prostatectomy. Subjects and Methods: The study included 431 consecutive patients who underwent transurethral prostatectomy between 2000 and 2003 at a Scarborough General Hospital, Toronto, Canada. The equipment used was a standard resectoscope with a regular loop. No roller ball or other gadget was used. The cutting and coagulation electrical variables were standard at 160 and 60 W for the generator used. The decision to remove the catheters was based on normal vital signs, adequate urine output, absence of clots and acceptable color of the catheter effluent. Results: Catheters were removed in 415 (96.3%) patients on postoperative day 1. Of the 415 patients 332 (80.0%) were discharged on the same day. The criteria for catheter removal on postoperative day 1 were not met in 16 (3.7%) patients and the mean indwelling catheter time was 4.8 ± 2.4 days and the mean length of hospital stay after surgery was 6.2 ± 3.3 days. For the entire group, the mean indwelling catheter time was 1.1 ± 0.8 days and the mean length of hospital stay after surgery was 1.6 ± 1.5 days. Risk factors which predicted delayed removal were age, postoperative bleeding and several comorbidities, that is coronary heart disease, renal insufficiency and Alzheimer’s disease. Conclusions: Removal of the catheter on the first postoperative day after transurethral prostatectomy seems to be feasible, safe and cost-effective without increasing significant morbidity in selected patients.

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Leitlinien der Deutschen Urologen zur Diagnostik und Therapie des BPH-Syndroms

Höfner

Jonas

Stief

2000

Benigne Prostatahyperplasie

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The Safety of Overnight Hospitalization for Transurethral Prostatectomy: A Prospective Study of 200 Patients

Abstract: Overnight hospitalization after transurethral prostatectomy is an appropriate, safe and cost-effective pathway of patient care that is readily applicable to any urology practice.

Cited by 15 publications

References 6 publications

Early Catheter Removal following Transurethral Prostatectomy:Overnight Catheterization

Early Catheter Removal following Transurethral Prostatectomy:Overnight Catheterization

Early Catheter Removal following Transurethral Prostatectomy: A Study of 431 Patients

Leitlinien der Deutschen Urologen zur Diagnostik und Therapie des BPH-Syndroms

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