Early Catheter Removal Following Transurethral Prostatectomy : A Prospective Study of 101 Consecutive Patients.
- Author:
Seung Ho HAN
1
;
Tag Keun YOO
;
Ro Jung PARK
Author Information
1. Eul Ji Medical Center, Seoul, Korea.
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
urethral catheter
- MeSH:
Adenoma;
Catheters*;
Hemorrhage;
Humans;
Intraoperative Complications;
Length of Stay;
Prospective Studies*;
Prostatic Hyperplasia;
Transurethral Resection of Prostate*;
Urethral Stricture;
Urinary Bladder;
Urinary Bladder, Neurogenic;
Urinary Catheters;
Urinary Retention
- From:Korean Journal of Urology
1997;38(4):399-403
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We managed 118 patients with benign prostatic hyperplasia by transurethral resection during January 1994 and December 1995 in Eul Ji Medical Center and all patients were operated upon by 2 staff doctors. Among 118 cases, 7 cases with intraoperative complications such as bladder injury or severe prostatic capsule injury and 8 cases with combined neuropathic bladder or chronic urinary retention and 2 cases with urethral stricture were excluded. The average age of 101 cases were 66.4 years old (50-92), and average weight of resected adenoma was 10.0 gm (2-32). We categorized these patients randomly into 2 groups. In group I (n=48), we removed the urethral catheter within 2 days after TURP and in group II (n=53), we removed it after 3 days (mean 4.2 days) following surgery. The average hospital stay postoperatively was4.1 days in group I and 7.4 days in group II. Recatheterization rate was 8.3% (4/48) in group I and 5.6% (3/53) in group II (p>0.05). There was no statistical difference in other complication including failure to void, intraoperative bleeding, urethral stricture, incontinence and TUR syndrome. This study supports early catheter removal after TURP would become an accepted and routine postsurgical practice following uncomplicated TURP.
