Transurethral resection of prostate (TURP) without traction: Safety and feasibility study

Badne, Avinash; Irpatgire, Ravindra

doi:10.26611/1069218

Cited by 3 publications

(3 citation statements)

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“…Transurethral Resection of Prostate (TURP) is the gold standard treatment for Benign Prostatic Hyperplasia (BPH). 1 Our results are consistent with the study done by Badne and Irpatgire 2 where they also observed significant difference in terms of VAS score postoperatively and requirement of analgesia. There was no significant difference in terms of hospital stay in their study.…”

Section: Discussionsupporting

confidence: 91%

“…There are many studies in the literature which has concentrated on the effect of traction on reducing blood loss but there is very little data regarding the morbidity associated with the use of traction. 2 It is a common experience that when traction is applied patients have significant pain and discomfort in the genital, suprapubic area, perineum and a sense of rectal fullness. 3 The most commonly and routinely given method of traction is filling the Foley bulb with 40 ml of distilled water followed by traction and the catheter is fixed to the thigh or abdomen with adhesive tape.…”

Section: Introductionmentioning

confidence: 99%

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Short time (10 min) Catheter Traction Following TURP: IS it helpful with less morbidity?

Maiti,

Dey,

Pal

2024

Urologia

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Introduction: Transurethral Resection of Prostate (TURP) is the most common treatment for Benign Prostatic Hyperplasia (BPH). Blood loss during and after transurethral resection of the prostate (TURP) is a potential cause of morbidity and clot retention. Usual practise is to apply traction in every case of TURP to reduce early postoperative hematuria and clot retention. There are very few studies in the literature and they have mainly concentrated on the effect of traction on reducing blood loss but there is scanty data regarding the morbidity associated with the use of traction. Various authors have described their method of traction application. So, in this study, we will compare the result of short term (10 min) traction with standard (4–6 h) traction. Materials and methods: It is a prospective comparative study with 50 participants, conducted at the department of Urology of a tertiary care hospital in eastern India after taking ethical clearance and consent from the patient. The patients attending urology O.P.D. with LUTS and diagnosed as BPH and planned for elective TURP and who had prolonged traction after TURP were excluded. Study period was one and the half year. Results: Post operatively 25 patients were managed with catheter traction while 25 patients were managed with short term traction of 10 min. Pain which is assessed by visual analog scale (VAS) at 2 and 4 h post operatively is statistically significant with p value of <0.05 and cut off of 65 g prostate volume is drawn below which the successful outcome of short term traction is feasible without any complications. Conclusion: If hemostatsis is done properly then short term traction is preferable, safe and had fewer complications for prostate volume <65 g in comparison to standard traction TURP comparing the overall factors. Although, VAS score at 2 and 4 h post operatively shows patient experienced less pain even in prostate volume >65 g.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Short time (10 min) Catheter Traction Following TURP: IS it helpful with less morbidity?

Maiti,

Dey,

Pal

2024

Urologia

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“…There are very few studies in the literature and they have mainly concentrated on the effect of traction on reducing blood loss but there is scant data regarding the morbidity associated with the use of traction. 1 It is a common experience that patients have significant pain and discomfort in the genital, suprapubic area, and perineum as well as a sense of rectal fullness till the time traction is continued after TURP. 2 So can the morbidity of traction be avoided in a selected group of patients where there is no significant post TURP hematuria?…”

Section: Introductionmentioning

confidence: 99%

Transurethral Resection of Prostate Without Traction: A Retrospective Observational Study

et al. 2022

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Introduction: Application of traction after monopolar transurethral resection of prostate (TURP) is a common practice that causes significant discomfort to the patients. So can we avoid the morbidity of traction in a selected group of the patient where there is no significant hematuria after TURP? Hence we did a retrospective observational study to look for feasibility and safety of traction less TURP. Methods: It is a retrospective observational study conducted in the Department of Urology, Manipal Teaching Hospital from August 2018 to August 2020 in patients who underwent traction less TURP. There was a total of 64 patients who fulfilled the inclusion criteria. All the demographic profiles, preoperative investigations, and perioperative parameters were noted. Postoperatively requirement of reapplication of traction, bladder washes, and application of tranexamic acid for hematuria, clot retention, and blood transfusion were noted. Statistical analysis was done by SPSS version 25. Result: Mean age and prostate size were 71 yrs. and 52 g. Sixteen(25%) patients were on antiplatelet therapy, fourteen(21%) patients had a catheter in situ and 34(53%) patients were on anti-BPH (Benign Prostatic Hyperplasia) medication. There were no patients who require re- traction, bladder washes, or application of intravenous tranexamic acid. There was one (1.56%) patient who had clot retention requiring evacuation and blood transfusion. VAS score after 8 hrs. and 12hrs. was 3.22 and 1.73. Mean hemoglobin fall was 0.81 g%. Conclusion: Traction after monopolar TURP can be safely omitted in carefully operated patients but traction should be reserved for those patients with continuous hematuria.

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Assessing safety and feasibility of monopolar transurethral resection of the prostate without post-operative catheter traction: A randomized controlled trial

KP,

Madhavan,

Kaushal

et al. 2024

Urologia

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Introduction: Traction on the per-urethral catheter is commonly employed after monopolar transurethral resection of the prostate (mTURP) to reduce bleeding. However, its efficacy and impact on postoperative pain remain uncertain. Further, there is limited evidence to suggest any benefit regarding post-operative blood loss. Materials and methods: In a randomized controlled trial, 62 patients undergoing mTURP were assigned to either a traction ( n = 30) or non-traction ( n = 32) group. Blood loss, postoperative pain, and analgesic requirements were assessed between January 2022 and April 2023. {(IHEC-PGR/2021/DM/M.Ch/Jan/02), CTRI Registration: CTRI/2022/01/039199.} Results: No significant differences were observed between the traction and non-traction groups regarding postoperative blood loss ( p-value- 0.632), fall in hemoglobin ( p-value- 0.719) and hematocrit ( p-value- 0.937) levels, and length of postoperative hospital stay ( p-value- 0.797). However, the traction group reported significantly higher postoperative pain scores ( p-value < 0.001) and increased analgesic requirements ( p-value < 0.001). Conclusion: The study suggests that 12-hours catheter traction after mTURP does not reduce blood loss and is associated with increased postoperative pain.

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Transurethral resection of prostate (TURP) without traction: Safety and feasibility study

Cited by 3 publications

References 0 publications

Short time (10 min) Catheter Traction Following TURP: IS it helpful with less morbidity?

Short time (10 min) Catheter Traction Following TURP: IS it helpful with less morbidity?

Transurethral Resection of Prostate Without Traction: A Retrospective Observational Study

Assessing safety and feasibility of monopolar transurethral resection of the prostate without post-operative catheter traction: A randomized controlled trial

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