Transurethral resection of the prostate as catheter‐free day‐care surgery

Abstract

OBJECTIVE To evaluate the feasibility of transurethral resection of the prostate (TURP) as catheter‐free day‐care surgery. PATIENTS AND METHODS The study comprised 64 patients (mean age 62.4 years) with a mean (range) American Urological Association symptom score of 21.4 (9–31) and prostate volume (by ultrasonography) of 32.8 (17–50) mL, and with no significant comorbidity. The patients were admitted on the morning of the surgery and, under brief spinal anaesthesia, underwent standard TURP. After surgery the urethral catheter was removed as soon as the effluent was clear. The patients were discharged after they could pass urine freely and with a good stream. RESULTS The mean duration of catheterization after TURP was 7.15 h; 59 patients (92%) had their catheter removed within 10 h (mean duration 6.42 h). There were no major complications during or after TURP. After removing the catheter, no patients required its reinsertion for failure to void or for clot retention. The mean hospital stay after TURP was 10.7 h and 98% of patients were discharged within 23 h of surgery. CONCLUSION TURP can be conducted safely in a day surgery setting in patients with mild to moderate benign prostatic enlargement and no coexisting medical illness.

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

“…The duration of postoperative hospitalization and indwelling urethral catheterization has been signifi cantly reduced during the last decade [3][4][5] . Studies reported that early catheter removal has reduced the length of hospital stay, which in turn would be benefi cial to health care costs [1,6] .…”

“…Currently, several practices of early catheter removal are used. Catheter removal on postoperative day 2, on postoperative day 1 and day-case prostatectomy can be accomplished in select patients if certain requirements can be satisfi ed [3][4][5] . From this study, the outcome, feasibility and safety of 431 consecutive patients for early catheter removal after TURP were examined.…”

Catheter-Assisted Transurethral Resection of the Prostate: A Novel Approach

“…Mebust et al [15] showed a mean duration of catheterization of 72 h after TURP. Recent studies [16,17] have suggested that the Foley catheter can be removed after TURP within 1 day in relatively young patients with moderate BPH and without chronic pulmonary or vascular disease. The mean age of patients in our study (72.33 years in the catheter-assisted and 71.13 years in the traditional TURP group) was higher than in previous studies (68.7 years in Gordon [16] and 62.5 years in Chander et al [17] ).…”

“…Recent studies [16,17] have suggested that the Foley catheter can be removed after TURP within 1 day in relatively young patients with moderate BPH and without chronic pulmonary or vascular disease. The mean age of patients in our study (72.33 years in the catheter-assisted and 71.13 years in the traditional TURP group) was higher than in previous studies (68.7 years in Gordon [16] and 62.5 years in Chander et al [17] ). The mean volume of prostate resection in our study (26.2 ml in catheter-assisted and 24.68 ml in traditional TURP) was higher than in the studies by Gordon [16] (12.58 ml) and Chander et al [17] (22.1 ml).…”

The Effect of Catheter Removal Time Following Transurethral Resection of the Prostate on Postoperative Urinary Retention

“…Urologists unwilling to ignore patient expectations are pushed to find ways to shorten catheterization time following an operation. These efforts have led some to argue that a few hours of catheterization is sufficient while others argue that a suprapubic catheter be used instead of a foley catheter (1)(2)(3).…”