Enhanced recovery after surgery in transurethral surgery for benign prostatic hyperplasia.
- Author:
Jing ZHOU
1
;
Zhu-Feng PENG
1
;
Pan SONG
1
;
Lu-Chen YANG
1
;
Zheng-Huan LIU
1
;
Shuai-Ke SHI
1
;
Lin-Chun WANG
1
;
Jun-Hao CHEN
1
;
Liang-Ren LIU
1
;
Qiang DONG
1
Author Information
- Publication Type:Journal Article
- Keywords: aging male; benign prostatic hyperplasia; enhanced recovery after surgery; prostate; transurethral surgery
- MeSH: Male; Humans; Prostatic Hyperplasia/complications*; Quality of Life; Transurethral Resection of Prostate/adverse effects*; Treatment Outcome; Enhanced Recovery After Surgery
- From: Asian Journal of Andrology 2023;25(3):356-360
- CountryChina
- Language:English
- Abstract: Enhanced recovery after surgery (ERAS) measures have not been systematically applied in transurethral surgery for benign prostatic hyperplasia (BPH). This study was performed on patients with BPH who required surgical intervention. From July 2019 to June 2020, the ERAS program was applied to 248 patients, and the conventional program was applied to 238 patients. After 1 year of follow-up, the differences between the ERAS group and the conventional group were evaluated. The ERAS group had a shorter time of urinary catheterization compared with the conventional group (mean ± standard deviation [s.d.]: 1.0 ± 0.4 days vs 2.7 ± 0.8 days, P < 0.01), and the pain (mean ± s.d.) was significantly reduced through postoperative hospitalization days (PODs) 0-2 (POD 0: 1.7 ± 0.8 vs 2.4 ± 1.0, P < 0.01; POD 1: 1.6 ± 0.9 vs 3.5 ± 1.3, P < 0.01; POD 2: 1.2 ± 0.7 vs 3.0 ± 1.3, P < 0.01). No statistically significant difference was found in the rate of postoperative complications, such as postoperative bleeding (P = 0.79), urinary retention (P = 0.40), fever (P = 0.55), and readmission (P = 0.71). The hospitalization cost of the ERAS group was similar to that of the conventional group (mean ± s.d.: 16 927.8 ± 5808.1 Chinese Yuan [CNY] vs 17 044.1 ± 5830.7 CNY, P =0.85). The International Prostate Symptom Scores (IPSS) and quality of life (QoL) scores in the two groups were also similar when compared at 1 month, 3 months, 6 months, and 12 months after discharge. The ERAS program we conducted was safe, repeatable, and efficient. In conclusion, patients undergoing the ERAS program experienced less postoperative stress than those undergoing the conventional program.
