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• W2783642322 abstract "INTRODUCTION : The prostate is the most common site of urological disease in man. It is also the male organ most commonly affected with either benign or malignant neoplasms. The most prevalent and clinically significant from of abnormal prostate growth is benign prostatic hyperplasia (BPH). The incidence is age related. The incidence of histological BPH in autopsy series rises from around 20% in men between 40-50 years to 50% in men aged 51-60 years to over 90% in men older than 80. Although the clinical manifestations of this disease is less common than this, symptoms of BPH also are related to increasing age-25% of men report obstructing voiding symptoms at age 55. At the age of 75, 50% of men are symptomatic. The symptoms of BPH can broadly be divided into obstructive and irritative complaints. Obstructive symptoms of BPH include hesitancy, decreased force and caliber of stream, sensation of incomplete bladder emptying, double voiding, straining to urinate and post-void dribbling. Irritative voiding symptoms include urgency, frequency and nocturia. AIMS AND OBJECTIVES : 1. To observe the patient after removal of urethral catheter on POD – 2 and POD – 4 after TURP for BPH. 2. To assess which modality (POD – 2 removal Vs POD -4 removal of catheter) has overall benefits for the patient undergoing TURP. 3. To compare the outcome parameters in both groups- like post-op PVR and uroflowmetry and the complication profile. 4. To know whether the early removal of catheter in post-TURP patients will be beneficial when compared to the conventional 4th day catheter removal, since keeping a large diameter 22F foley catheter is often very inconvenient for the patient. 5. To know whether post-TURP complications are reduced by early removal of catheter. MATERIALS AND METHODS : A total of 68 patients were enrolled in the study. Age, size of the prostate (as determined by USG KUB), P.R grade of prostate, cystoscopic grade at TURP were recorded. Patients were assigned to POD – 2 and POD – 4 groups. Standard TURP was performed on all patients. A 24 french resectoscope was used with routine precautions taken to achieve maximum haemostasis without undue prolongation of resection time. Immediately after surgery, all patients had a 3 way foley urethral catheter placed with saline irrigation. CONCLUSION : Our study shows that early catheter removal after TURP is beneficial to the patient and does not increase the complication profile. This is supported by the following data. Over all 11.76% patients in the POD-2 group and 11.76% patients on the POD-4 group developed retention of urine after catheter removal that required recatheterization. Those who failed catheterization (developed retention) in either group were recatheterized and discharged with catheter. Catheter removal was done as an outpatient procedure around 7 days later. No patient in our study had to be on catheter beyond this period. In the POD-2 group 4 patients developed retention requiring recatheterization. In the POD-4 group 4 patients developed retention requiring recatheterization. There was no statistically significant increase in recatheterisation rate in the POD-2 group, suggesting that urinary retention does not develop at a higher rate when early (POD-2 Vs POD-4) catheter removal is practiced after TURP." @default.
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• W2783642322 date "2012-08-01" @default.
• W2783642322 modified "2023-09-28" @default.
• W2783642322 title "A study on removal of urethral catheter on Post-OP day 2 Vs the conventional post-OP day 4 after TURP." @default.
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