Early Catheter Removal following Transurethral Prostatectomy:Overnight Catheterization

Aslan, Güven; Çelebi, İlhan; Arslan, Deniz; Esen, Adil

doi:10.1159/000048428

Cited by 8 publications

(24 citation statements)

References 8 publications

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“…This difference may be secondary to improvements in anesthesia and operative technique that include maintaining meticulous hemostasis during operation and point coagulation of arterial bleeders. The mean hospital stay after operation of 1.6 8 1.5 days for the entire patient population of our study is similar to other reports [1,3,8] . The length of catheterization correlated with age, postoperative bleeding and several comorbidities which were coronary heart disease, renal insuffi ciency and Alzheimer's disease.…”

Section: Discussionsupporting

confidence: 91%

“…In our study, 96.3% were catheter-free on postoperative day 1 and 80% of them were discharged on the same day. The difference in catheter-free patients on postoperative day 1 between our study and those of Cherrie et al [1] and Aslan et al [3] is signifi cant (p ! 0.001).…”

Section: Discussioncontrasting

confidence: 50%

“…In another study by Aslan et al [3] 54 (79.6%) patients were catheter-free on postoperative day 1 and 52% of those were discharged home on the same day. In our study, 96.3% were catheter-free on postoperative day 1 and 80% of them were discharged on the same day.…”

Section: Discussionmentioning

confidence: 90%

“…The duration of postoperative hospitalization and indwelling urethral catheterization has been signifi cantly reduced during the last decade [3][4][5] . Studies reported that early catheter removal has reduced the length of hospital stay, which in turn would be benefi cial to health care costs [1,6] .…”

Section: Discussionmentioning

confidence: 99%

“…Currently, several practices of early catheter removal are used. Catheter removal on postoperative day 2, on postoperative day 1 and day-case prostatectomy can be accomplished in select patients if certain requirements can be satisfi ed [3][4][5] . From this study, the outcome, feasibility and safety of 431 consecutive patients for early catheter removal after TURP were examined.…”

Section: Introductionmentioning

confidence: 99%

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Early Catheter Removal following Transurethral Prostatectomy: A Study of 431 Patients

Nakagawa

Toguri

2006

Med Princ Pract

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Objectives: To assess and review catheter removal on the first day after transurethral prostatectomy. Subjects and Methods: The study included 431 consecutive patients who underwent transurethral prostatectomy between 2000 and 2003 at a Scarborough General Hospital, Toronto, Canada. The equipment used was a standard resectoscope with a regular loop. No roller ball or other gadget was used. The cutting and coagulation electrical variables were standard at 160 and 60 W for the generator used. The decision to remove the catheters was based on normal vital signs, adequate urine output, absence of clots and acceptable color of the catheter effluent. Results: Catheters were removed in 415 (96.3%) patients on postoperative day 1. Of the 415 patients 332 (80.0%) were discharged on the same day. The criteria for catheter removal on postoperative day 1 were not met in 16 (3.7%) patients and the mean indwelling catheter time was 4.8 ± 2.4 days and the mean length of hospital stay after surgery was 6.2 ± 3.3 days. For the entire group, the mean indwelling catheter time was 1.1 ± 0.8 days and the mean length of hospital stay after surgery was 1.6 ± 1.5 days. Risk factors which predicted delayed removal were age, postoperative bleeding and several comorbidities, that is coronary heart disease, renal insufficiency and Alzheimer’s disease. Conclusions: Removal of the catheter on the first postoperative day after transurethral prostatectomy seems to be feasible, safe and cost-effective without increasing significant morbidity in selected patients.

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Section: Discussionsupporting

confidence: 91%

Section: Discussioncontrasting

confidence: 50%

Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Early Catheter Removal following Transurethral Prostatectomy: A Study of 431 Patients

Nakagawa

Toguri

2006

Med Princ Pract

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Technological Advances in Transurethral Resection of the Prostate: Bipolar versus Monopolar TURP

Issa

2008

Journal of Endourology

129

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One of the most significant recent advancements in transurethral resection of the prostate (TURP) is the incorporation of bipolar technology. Bipolar circuitry allows TURP to be performed in a normal saline environment, which addresses a fundamental concern of conventional monopolar TURP (i.e., the use of hypo-osmolar irrigation). As a result, the risks of dilutional hyponatremia and transurethral resection (TUR) syndrome are eliminated, allowing for longer and safer resection. This review discusses the principles and applications of electrosurgery in conventional monopolar as well as new bipolar saline-based TURP systems. This review also addresses the positive impact on patient safety and resident training.

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Catheter‐free discharge on first postoperative day after bipolar transurethral resection of prostate: Clinical outcomes of 100 cases

2013

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Abbreviations & AcronymsObjectives: Our center has adopted a protocol for catheter-free first postoperative day discharge after bipolar transurethral resection of the prostate. We present the immediate, 1-month and 6-month outcomes of our first 100 cases following this protocol. Methods: All bipolar transurethral resection of the prostate patients followed the protocol regardless of indications and background comorbid conditions. Bladder irrigation was stopped in the evening after transurethral resection of the prostate, and the catheter was removed at 06.00 hours. All patients were discharged on the first postoperative day. They were reviewed at 1 month and 6 months with the International Prostate Symptom Score and uroflowmetry. Results:The mean age of the study population was 70.8 years. A total of 40 patients had urinary retention and were on an indwelling catheter before transurethral resection of the prostate. A total of 14 patients had other surgeries in the same setting as the transurethral resection of the prostate. The mean resection weight was 32.7 g. The mean irrigation time and catheter time were 4.2 h and 15.0 h, respectively. The improvement in terms of International Prostate Symptom Score, quality of life score, peak flow rate and post-void residual volume was comparable with those reported in the literature for bipolar transurethral resection of the prostate. Similarly, early and late complication rates also compared favorably with the literature. The perioperative cost was significantly reduced. Conclusions: Catheter-free first postoperative day discharge after bipolar transurethral resection of the prostate is safe with good clinical outcomes and cost savings.

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Early Catheter Removal following Transurethral Prostatectomy:Overnight Catheterization

Cited by 8 publications

References 8 publications

Early Catheter Removal following Transurethral Prostatectomy: A Study of 431 Patients

Early Catheter Removal following Transurethral Prostatectomy: A Study of 431 Patients

Technological Advances in Transurethral Resection of the Prostate: Bipolar versus Monopolar TURP

Catheter‐free discharge on first postoperative day after bipolar transurethral resection of prostate: Clinical outcomes of 100 cases

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