Early catheter removal after transurethral resection of the prostate

Abstract

Introduction Post-operative care of transurethral resec tion of the prostate (TURP) includes prolonged bladder irrigation that places a heavy burden on the nursing staff and a substantial strain on the budget. There is a trend towards early catheter removal after TURP even to the extent of performing it as a day case. We explored the feasibility and limitations of early catheter removal after TURP in our unit. Design Prospective study.

Median Duration of Hospital Stay after Early Removal of Foley’s Catheter among Patients Undergoing Transurethral Resection of Prostate: A Descriptive Cross-sectional Study

“…In this study, we have sucesfully removed the catheter on first POD in 130 (86%) cases ,where as 20 (14%) cases recatherized due to above mentioned complications. The median duration of hospital stay in early removal of catheter was 3 (interquartile range 2-4) days which was similar to study done by Chalise et al 5 Many clinical trials have emphasized on early catheter removal after TURP 6,7,11,[13][14][15][16][17][18] which helps in bed management, reduce cost and reduces the waiting list for TURP. Factors that influences the removal of catheter can be divided in three categories: Intrinsic patient factors, such as co-morbidities, urinary retention,hematuria,procedure specific factor such as resected prostate weight and intrinsic hospital factor and resourses.…”

A feasibility study of urinary catheter removal protocol following transurethral prostatectomy procedure in older patients

“…21 The IPSS comprises seven items and uses a 6-point Likert scale ranging from 0 (not at all) to 5 (almost always). The score ranges from 0 to 35, and scoring for each part categorizes the older patients in the following manner: mild symptoms (0-7), moderate symptoms (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19), and severe symptoms (20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35). 22 The ASA is a subjective assessment of a patient's overall health that is based on six levels: score 1 = normal healthy patients (no systemic diseases, no smoking, no drinking or light drinking), 2 = patients with mild systemic disease but well-controlled, with a mild disease that does not affect daily activities; 3 = patients had multiple mild systemic diseases, or moderate or severe single system disease, the disease will limit daily activities; 4 = patients with severe systemic disease that limits daily activities and risks of death, 5 = patients at immediate risk of death who were not expected to survive for more than 24 h with or without surgery, 6 = brain-dead patients about to donate organs.…”

“…Based on previous studies, early removal of urinary catheters after TURP did not significantly affect postoperative bleeding, urinary retention, urinary re-catheterization, UTI, and TURP syndrome, requiring re-operation and prolonging the length of hospital stay. [6][7][8][9][10][11][12][13][14] Yu et al further reported in their meta-analysis of seven randomized control trials with 864 patients who underwent TURP that early catheter removal after the surgery did not significantly add to the risk of recatheterization and secondary haemorrhage. Nevertheless, delayed catheter removal was associated with UTI and longer hospital stays.…”

An early trial of catheter removal after transurethral resection of the prostate at Sindh Institute of Urology and Transplant.

“…The hospital staff and society bear a substantial financial and administrative burden 7 . Hospitalization costs account for 35% of this cost, and post-operative irrigation accounts for 7% 8 . Lengthy hospital stays have been considered to be a drawback of TURP.…”