A COMPARATIVE STUDY OF EARLY REMOVAL VERSUS CONVENTIONAL PRACTICE OF FOLEY'S CATHETER REMOVAL AFTER TRANSURETHRAL RESECTION OF PROSTATE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 19
Abstract
BACKGROUND Benign prostatic hyperplasia is a common cause of concern in most of the elderly men because of the morbid problems that it gives rise to and is of great concern especially because of the problems of obstructive uropathy, which may in turn bother the clinician with added complications like hydroureteronephrosis. Transurethral resection of prostate remains the gold standard treatment for benign prostatic hyperplasia. The length of hospital stay of patients undergoing TURP, however, is greater. Post-operative care of transurethral resection of the prostate (TURP) includes prolonged bladder irrigation that immobilises patient for long hours. The presence of catheter for many days increases the chances of infection, stricture formation and is also a handicap in day-to-day activities of the patients. This also places the patient on financial loss, as the long hospital stay prevents him to attend to his work. This study is intended to explore the feasibility and safety of early catheter removal (on day 2) after transurethral resection of prostate as compared with conventional 4th - 5th day catheter removal. MATERIALS AND METHODS The study was a prospective hospital-based time-bound non-randomised controlled trial conducted between November 2015 and November 2017 at a Medical College Hospital. 35 patients with benign prostatic hyperplasia were included in the study. Patients were divided into two groups using alternate allocation method. 18 patients were included in the early removal group and 17 patients were included in the late removal group. Catheters of patients in the early removal group were removed on POD-2 of surgery and other 17 patients who belonged to the late removal group underwent catheter removal on POD-4 or POD-5. After removal of catheter, the patients were observed, and outcomes were carefully recorded. RESULTS Length of post-operative hospital stay was significantly shorter in patients who underwent early catheter removal after TURP. No significant difference in the rate of complications was seen in between the groups. CONCLUSION Our study suggests that in most of the patients who undergo TURP and who do not have any significant per operative complications, early removal of catheter after a short irrigation period is feasible, improves quality of life and is cost effective without significantly increasing post-operative complications.
Authors and Affiliations
Manjuprasad G. B, Ravikumar Jadhav, Sujit Betageri
Keywords
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- EP ID EP418169
- DOI 10.14260/jemds/2018/521
- Views 97
- Downloads 0
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