Early catheter removal after transurethral resection of the prostate.

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dc.contributor.authorPerera, Neville Den_US
dc.contributor.authorNandasena, A C Nen_US
dc.date.accessioned2009-05-28T05:39:08Z
dc.date.available2009-05-28T05:39:08Z
dc.date.issued2002-03-11en_US
dc.descriptionThe Ceylon Medical Journal.en_US
dc.description.abstractINTRODUCTION: Post-operative care of transurethral resection of the prostate (TURP) includes prolonged bladder irrigation that places a heavy burden on the nursing staff and a substantial strain on the budget. There is a trend towards early catheter removal after TURP even to the extent of performing it as a day case. We explored the feasibility and limitations of early catheter removal after TURP in our unit. DESIGN: Prospective study. SETTING: Department of Urology, The National Hospital of Sri Lanka (NHSL), Colombo. PATIENTS AND METHODS: The study was in a tertiary referral centre (NHSL), on 65 patients with a mean age of 67.5 years who underwent TURP for mild to moderate enlargement of the prostate, less than 25 g, with lower urinary tract symptoms. Post-operative irrigation was maintained by diuretics at operation or a short term saline irrigation in the operating theatre. RESULTS: 17 patients developed clot retention in the ward that was managed by irrigation for 12 to 24 h. 62 patients who had clear or minimally blood-stained urine were tried without catheter after 24 h. Only two failed to pass urine. Patients without other complications were discharged from hospital after 1 or 2 successful voidings on the same day. There were no readmissions with complications. CONCLUSIONS: This study supports the feasibility of early catheter removal after a short irrigation period in TURP in the majority of patients with mild to moderate enlargement of the prostate without significantly increasing post-operative complications.en_US
dc.description.affiliationNational Hospital of Sri Lanka, Colombo. nevi603@sltnet.lken_US
dc.identifier.citationPerera ND, Nandasena AC. Early catheter removal after transurethral resection of the prostate. The Ceylon Medical Journal. 2002 Mar; 47(1): 11-2en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/48818
dc.language.isoengen_US
dc.source.urihttps://www.infolanka.com/CMJhome/en_US
dc.subject.meshAgeden_US
dc.subject.meshDevice Removalen_US
dc.subject.meshFeasibility Studiesen_US
dc.subject.meshHumansen_US
dc.subject.meshLength of Stayen_US
dc.subject.meshMaleen_US
dc.subject.meshProspective Studiesen_US
dc.subject.meshProstatectomyen_US
dc.subject.meshProstatic Hyperplasia --complicationsen_US
dc.subject.meshSri Lankaen_US
dc.subject.meshTime Factorsen_US
dc.subject.meshUrinary Catheterization --instrumentationen_US
dc.subject.meshUrinary Retention --surgeryen_US
dc.titleEarly catheter removal after transurethral resection of the prostate.en_US
dc.typeJournal Articleen_US
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