Transurethral resection of prostate (TURP) without traction: Safety and feasibility study
Journal Title: Medpulse International Journal of Surgery - Year 2019, Vol 9, Issue 2
Abstract
Objective: To study the feasibility and safety of Transurethral Resection of Prostate (TURP) without traction on per urethral catheter, and to compare the outcome in patients of TURP with and without traction for treatment of Benign Prostatic Hyperplasia (BPH). Material and methods: This prospective randomized study included 60 consecutive patients undergoing TURP from August 2013 to July 2016. After resection patients were randomly selected for either traction (30) or no traction (30), if outflow was clear. Following study parameters were noted namely total blood loss, operative time, postoperative pain and complications, duration of catheterisation and hospital stay, International Prostate Symptom Score (IPSS score) and maximum flow rate (Q max) in follow up at 1, 6 and 12 months. All the study parameters were noted in a standard case record form (CRF). Statistical analysis was done by primer stat by applying the unpaired t-test. P value <0.05 was taken as significant. Results: Baseline characteristics were comparable. The patients with traction had significantly higher pain scores (P=0.000) and analgesic requirement (P=0.000) with comparable blood loss (P=0.826) and postoperative recovery. Conclusion: TURP without traction is feasible and safe in selected patients. It reduces morbidity significantly without affecting postoperative outcomes.
Authors and Affiliations
Avinash Badne, Ravindra Irpatgire
Keywords
Related Articles
- EP ID EP526460
- DOI 10.26611/1069218
- Views 152
- Downloads 0
Hyperbaric oxygen therapy in traumatic brain injury cases
Background: Traumatic brain injury (TBI) is a significant cause of premature death and disability. Despite the deployment of increasingly sophisticated therapy and increased monitoring in hospital, the mortality rate rem...
A rare case of schwannomatosis
Schwannomas are benign, slow growing, encapsulated tumour of peripheral nerve which contain of only schwann cells. They develop on the outside of the nerve, but may push it aside or against adjacent structures causing da...
A comparative study of conventional omental patch repair versus laproscopic closure of duodenal ulcer
Background: Laparotomy has been the standard treatment of perforated peptic ulcers. Laparoscopy allows the confirmation of the diagnosis, better magnified visualization during the procedure and the identification of the...
A study of factors associated with mortality in severe head injuryat tertiary health care centre
Background: Traumatic brain injury is leading cause of death and disability worldwide. Every year about 1.5 million affected people die and several millions receive emergency treatment. Aims and Objectives Aims and Objec...
Assessment of predicting factors for acute pancreatitis
Background: The incidence of acute pancreatitis varies in different centres and depends upon etiologic factors. Incidence of gallstone pancreatitis is more in this part of the world and males are affected more than femal...