Early catheter removal: a prospective study of 100 consecutive patients undergoing transurethral resection of the prostate

Dodds, Lachlan; Lawson, Peter; Crosthwaite, Amy; Wells, G.R.

doi:10.1111/j.1464-410x.1995.tb07386.x

Cited by 29 publications

(27 citation statements)

References 7 publications

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“…chronic obstructive pulmonary disease or chronic arterial disease) which would increase the anaesthetic risk or affect the course of hospital stay after surgery. The mean age of patients was 62.4 years, lower than that in previous studies because of selection bias in favour of younger patients (Table 1) [6–9,13–15].…”

Section: Discussionmentioning

confidence: 73%

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

et al. 2003

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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.

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Section: Discussionmentioning

confidence: 73%

“…Attempts at early catheter removal, and thus conducting TURP as day‐care surgery, have been underway since 1991 [7–9]. The concept of TURP in an outpatient setting has been possible through improvements in instrumentation, anaesthetic management during and after surgery, and increased experience with outpatient transurethral surgery.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2003

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“…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%

“…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: 96%

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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“…The predominant complication in previous studies was reinsertion of the catheter, which was required in 12-14% of patients in one study by Dodds et al .,[15] and 17.5% in another by Gordon. No patient in series of Chander et al .,[9] required reinsertion of the catheter after removal.…”

Section: Discussionmentioning

confidence: 99%

Day care monopolar transurethral resection of prostate: Is it feasible?

Khan

2014

Urol Ann

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Introduction:Benign prostatic hyperplasia is a common disease accounting for 30% of our OPD cases and about 25% of our surgery cases. Various treatment options are now available for more efficient care and early return to work. We wanted to determine the safety and feasibility of day care monopolar transurethral resection of prostate (m-TURP), by admitting the patients on the day of surgery and discharging the patient without catheter on the same day. We also compared the morbidity associated with conventional TURP where in the catheter is removed after 24-48 h of surgery and day care TURP where in the catheter is removed on the day of surgery.Materials and Methods:A total of 120 patients who fulfilled the criteria were included in the study which was conducted between November 2008 and December 2010. A total of 60 patients were assigned for day care and 60 for conventional monopolar TURP. There was no significant difference in age, prostatic volume or IPSS score. Day care patients were admitted on day of surgery and discharged the same day after the removal of catheter.Results:Both the groups were comparable in outcome. Stricture rate was less with day care TURP. Mean catheterization time was similar to laser TURP.Conclusion:Monopolar TURP is still the gold standard of care for BPH. If cases are selected properly and surgery performed diligently it remains the option of choice for small and medium sized glands and patients can be back to routine work early.

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Early catheter removal: a prospective study of 100 consecutive patients undergoing transurethral resection of the prostate

Abstract: Brief catheter drainage after TURP is safe and allows an earlier discharge from hospital than the standard duration of catheterization.

Cited by 29 publications

References 7 publications

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

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

Early Catheter Removal following Transurethral Prostatectomy:Overnight Catheterization

Day care monopolar transurethral resection of prostate: Is it feasible?

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