Risk Factors for Failure of Early Catheter Removal After Greenlight HPS Laser Photoselective Vaporization Prostatectomy in Men With Benign Prostatic Hyperplasia.
- Author:
Woong Jin BAE
1
;
Sun Gook AHN
;
Jun Ho BANG
;
Jang Ho BAE
;
Yong Sun CHOI
;
Su Jin KIM
;
Hyuk Jin CHO
;
Sung Hoo HONG
;
Ji Youl LEE
;
Tae Kon HWANG
;
Sae Woong KIM
Author Information
- Publication Type:Original Article
- Keywords: Laser therapy; Prostatic hyperplasia; Urethral catheterization
- MeSH: Catheters; Humans; Laser Therapy; Male; Multivariate Analysis; Operative Time; Prostate; Prostatectomy; Prostatic Hyperplasia; Risk Factors; Urinary Catheterization; Urinary Catheters; Urinary Retention; Urodynamics; Volatilization
- From:Korean Journal of Urology 2013;54(1):31-35
- CountryRepublic of Korea
- Language:English
- Abstract: PURPOSE: To assess the risk factors for developing urinary retention after removal of the urethral catheter on postoperative day 1 in benign prostatic hyperplasia patients who underwent Greenlight HPS laser photoselective vaporization prostatectomy (PVP). MATERIALS AND METHODS: The study included 427 men who underwent Greenlight HPS laser PVP between 2009 and 2012, excluding patients in whom a catheter was maintained for more than 1 day because of urethral procedures. In all patients, a voiding trial was performed on postoperative day 1; if patients were unable to urinate, the urethral catheter was replaced before hospital discharge. The patients were divided into two groups: early catheter removal (postoperative day 1) and late catheter removal (urethral catheter reinsertion). Preoperative and perioperative parameters were compared between the groups. RESULTS: Catheters were successfully removed in 378 (88.6%) patients on postoperative day 1. In 49 patients, the catheters were reinserted and removed a mean of 6.45+/-0.39 days after surgery. In a multivariate analysis, a history of diabetes was the most significant predictor (p=0.028) of failure of early catheter removal, followed by operative time (p=0.039). There were no significant differences in age, prostate volume, International Prostate Symptom Score, or urodynamic parameters between the two groups. CONCLUSIONS: It is feasible, safe, and cost-effective to remove the urethral catheter on postoperative day 1 after Greenlight HPS laser PVP, but the procedure should be done carefully in patients who have history of diabetes or an extended operative time.
