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
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- EP ID EP526460
- DOI 10.26611/1069218
- Views 160
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