Early versus delayed foley catheter removal after transurethral resection of the prostate
Background Time of removal of the urethral catheter varies after the TURP. While some urologists remove the catheter on day 1 or 2 after TURP, most wait for 4-7 days before removing the catheter. The keeping of a urethral catheter for 4-7 day may require that the patient stays in the hospital for th...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Nigerian Journal of Medicine |
| Subjects: | |
| Online Access: | http://www.njmonline.org/article.asp?issn=1115-2613;year=2020;volume=29;issue=1;spage=111;epage=114;aulast=Akpayak;type=0 |
| _version_ | 1818891157129658368 |
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| author | I C Akpayak S I Shuaibu V E Onowa C A Agbo |
| author_facet | I C Akpayak S I Shuaibu V E Onowa C A Agbo |
| author_sort | I C Akpayak |
| collection | DOAJ |
| description | Background
Time of removal of the urethral catheter varies after the TURP. While some urologists remove the catheter on day 1 or 2 after TURP, most wait for 4-7 days before removing the catheter. The keeping of a urethral catheter for 4-7 day may require that the patient stays in the hospital for that duration of time to have the catheter removed before he goes home. The delayed catheter removal, therefore, may prolong hospital stay. There is no data from our environment on when to remove the catheterafter TURP. This study seeks to compare early and delayed catheter removal after TURP for benign prostatic hyperplasia.
Patients and Method
This was a hospital-based prospective study carried out at a multi-specialty hospital in Jos, North-central Nigeria, comparing the outcomes of delayed (conventional)catheter removal with early removal of the catheter after TURP for BPH between December 2013 and January 2018. Patients with BPH who met the indications for TURP as well as consented to the study formed the subject of the study. Patients who had chronic retention prior to TURP and those who had significant perforation of the prostatic capsule and therefore required a longer catheterization were excluded from the study. The patients and surgeons were not blinded to the procedure. All the consenting patients who had the TURP for various indications were blocked randomized into the two groups: Group A: early catheter removal (postoperative day 2) Group B:delayed catheter removal (postoperative day 4). The intraoperative and postoperative parameters were compared using appropriate statistics.
Results
A total of 64 patients underwent the monopolar TURP for BPH during the period under review. Both groups had no statistically significant difference in their baselinecharacteristics. In groups A and group B, the number of patients that had urinary retention were 2(6.1%) and 2 (6.1%) respectively, and the difference was not statistically significant (p = 0.693). The number of patients that had UTI in group A and group B were 1(3.0%), and 4 (12.1%) and the difference was also not statistically significant (p = 0.178). One (3.0%) patient developed urethral stricture in group A and 1 (3.0%) also in group B with no statisticaldifference (p = 0.734). Three patients (9.1%) developed epididymorchitis in group B while none had this complication in group A (p = 0.119). Stress incontinence was seen in 1 (3.0%) patient in group A and also in 1 (3.0%) in group B with no statistical difference (p = 0.734) Bleeding complication was negligible in both groups after removal of the catheter.
Conclusion
Either early or delayed removal of the catheter after TURP does not add excessively to postoperative complications. Removal of a urethral catheter on postoperative day 2, favourably granted the reduced hospital stay and consequently reduced cost. |
| first_indexed | 2024-12-19T17:36:20Z |
| format | Article |
| id | doaj.art-2609c135eea04885a46f54ce3eb1c3aa |
| institution | Directory Open Access Journal |
| issn | 1115-2613 |
| language | English |
| last_indexed | 2024-12-19T17:36:20Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Nigerian Journal of Medicine |
| spelling | doaj.art-2609c135eea04885a46f54ce3eb1c3aa2022-12-21T20:12:20ZengWolters Kluwer Medknow PublicationsNigerian Journal of Medicine1115-26132020-01-0129111111410.4103/1115-2613.284871Early versus delayed foley catheter removal after transurethral resection of the prostateI C AkpayakS I ShuaibuV E OnowaC A AgboBackground Time of removal of the urethral catheter varies after the TURP. While some urologists remove the catheter on day 1 or 2 after TURP, most wait for 4-7 days before removing the catheter. The keeping of a urethral catheter for 4-7 day may require that the patient stays in the hospital for that duration of time to have the catheter removed before he goes home. The delayed catheter removal, therefore, may prolong hospital stay. There is no data from our environment on when to remove the catheterafter TURP. This study seeks to compare early and delayed catheter removal after TURP for benign prostatic hyperplasia. Patients and Method This was a hospital-based prospective study carried out at a multi-specialty hospital in Jos, North-central Nigeria, comparing the outcomes of delayed (conventional)catheter removal with early removal of the catheter after TURP for BPH between December 2013 and January 2018. Patients with BPH who met the indications for TURP as well as consented to the study formed the subject of the study. Patients who had chronic retention prior to TURP and those who had significant perforation of the prostatic capsule and therefore required a longer catheterization were excluded from the study. The patients and surgeons were not blinded to the procedure. All the consenting patients who had the TURP for various indications were blocked randomized into the two groups: Group A: early catheter removal (postoperative day 2) Group B:delayed catheter removal (postoperative day 4). The intraoperative and postoperative parameters were compared using appropriate statistics. Results A total of 64 patients underwent the monopolar TURP for BPH during the period under review. Both groups had no statistically significant difference in their baselinecharacteristics. In groups A and group B, the number of patients that had urinary retention were 2(6.1%) and 2 (6.1%) respectively, and the difference was not statistically significant (p = 0.693). The number of patients that had UTI in group A and group B were 1(3.0%), and 4 (12.1%) and the difference was also not statistically significant (p = 0.178). One (3.0%) patient developed urethral stricture in group A and 1 (3.0%) also in group B with no statisticaldifference (p = 0.734). Three patients (9.1%) developed epididymorchitis in group B while none had this complication in group A (p = 0.119). Stress incontinence was seen in 1 (3.0%) patient in group A and also in 1 (3.0%) in group B with no statistical difference (p = 0.734) Bleeding complication was negligible in both groups after removal of the catheter. Conclusion Either early or delayed removal of the catheter after TURP does not add excessively to postoperative complications. Removal of a urethral catheter on postoperative day 2, favourably granted the reduced hospital stay and consequently reduced cost.http://www.njmonline.org/article.asp?issn=1115-2613;year=2020;volume=29;issue=1;spage=111;epage=114;aulast=Akpayak;type=0turpearly catheter removaldelayed catheter removal |
| spellingShingle | I C Akpayak S I Shuaibu V E Onowa C A Agbo Early versus delayed foley catheter removal after transurethral resection of the prostate Nigerian Journal of Medicine turp early catheter removal delayed catheter removal |
| title | Early versus delayed foley catheter removal after transurethral resection of the prostate |
| title_full | Early versus delayed foley catheter removal after transurethral resection of the prostate |
| title_fullStr | Early versus delayed foley catheter removal after transurethral resection of the prostate |
| title_full_unstemmed | Early versus delayed foley catheter removal after transurethral resection of the prostate |
| title_short | Early versus delayed foley catheter removal after transurethral resection of the prostate |
| title_sort | early versus delayed foley catheter removal after transurethral resection of the prostate |
| topic | turp early catheter removal delayed catheter removal |
| url | http://www.njmonline.org/article.asp?issn=1115-2613;year=2020;volume=29;issue=1;spage=111;epage=114;aulast=Akpayak;type=0 |
| work_keys_str_mv | AT icakpayak earlyversusdelayedfoleycatheterremovalaftertransurethralresectionoftheprostate AT sishuaibu earlyversusdelayedfoleycatheterremovalaftertransurethralresectionoftheprostate AT veonowa earlyversusdelayedfoleycatheterremovalaftertransurethralresectionoftheprostate AT caagbo earlyversusdelayedfoleycatheterremovalaftertransurethralresectionoftheprostate |