Monopolar TURP catheterised vs non catheterised

Published: 9 June 2021| Version 1 | DOI: 10.17632/7x8x4g3s44.1
Contributor:
baikuntha adhikari

Description

Comparison of outcomes between those patients undergoing monopolar transurethral resection of prostate for symptomatic benign prostatic hyperplasia with Foley catheterization preoperatively after at least one failed trial without catheter and those with moderate to severe bothersome lower urinary tract symptoms requiring surgical intervention with no Foley catheter preoperatively. Patient’s age, body mass index (BMI), American Society of Anesthesiologists’ classification (ASA), prostate volume, IPP, prostate specific antigen level (PSA) level, uroflowmetry findings, post-void residual (PVR) volume, International Prostate Symptom Score (IPSS). The operating time was calculated as time from the introduction of resectoscope till the placement of Foley catheter. Proportion of prostate resected was calculated as the volume resected weighed at the end of operation divided by the preoperative ultrasound determined prostate volume. Post-operative hemoglobin level was assessed at 24hr. Change in hemoglobin level was derived by subtracting the postoperative hemoglobin level at 24 hours from the preoperative level. Complications were classified as per modified Clavien classification system. Data analysis was done using the Statistical Package for Social Sciences Windows version 23. Baseline characteristics were compared using the Chi-square test for categorical variables and the student t-test/ Mann Whitney U test for continuous data. Anova was used to compare groups with various duration of preoperative catheterization. A p-value < 0.05 was considered statistically significant. Patient with preoperative catheterization had higher prostate volume, higher PSA level, higher volume of prostate resected, better postoperative subjective symptoms score and QOL score, longer duration of hospital stay and lower Qmax. T with similar complication rate. This data set can be used with SPSS software.

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