Outcome of Early Removal of Urinary Catheter after Transurethral Resection of Prostate (TUR-P)

Abstract

Objective: To determine the outcome of early removal of urinary catheter, and predict the possibility of TUR-P as a day care surgery, in terms of reduced hospital stay. Study Design & Setting: It was a cross sectional study design with non-probability sampling conducted at Department of Urology, Rawalpindi medical college from January to July 2017. Methodology: Total 190 patients fulfilled inclusion and exclusion criteria were selected for the study. Patient underwent TUR-P followed by catheter irrigation. Time was noted as ‘zero’ hour. The color of the effluent was grossly monitored. When the effluent became clear the catheter was removed and time noted. After successful voiding, patient was discharged and time noted. Success is if the duration from time ‘zero’ hours to catheter removal is within 24 hours and duration of hospital stay is within 36 hours. A time line greater is considered to be failure. Data analysis was done using SPSS version 15.0. For quantitative variables like age, time of catherization and hospital stay, median and standard deviation was calculated. For qualitative variables like success, frequency and percentages were calculated. Groups and tables were made to present the data. Results: Mean duration of catherization after TUR-P is 9.67 ± 2.36 (hrs. min). Hospital stay was 26.73 ± 6.24 hours. Frequency and percentage of successful outcome was 152 out of 190 patients and 82.6% respectively. Conclusion: Our study favors that in selected patients TUR-P can be performed with shorter hospital stay with minimal postoperative complications. This will benefit the patient in terms of reducing comorbids and considerable departmental financial savings