OUTCOME OF EARLY REMOVAL OF URINARY CATHETER AFTER TRANSURETHRAL RESECTION OF PROSTATE

Abstract

Background: Transurethral resection of the prostate is still the gold standard for preventing complications. It has been the subject of ongoing discussion among urologists.
Objective: The aim of the study was to conclude the Outcome of early removal of urinary catheter after transurethral resection of prostate.
Material and method: This quasi-experimental study was carried out at the urology department MTI KGN Bannu KPK Pakistan from January-2024 to June-2024 after taking permission from the ethical board of the institute. 64 individuals with benign prostatic hyperplasia (BPH) who had bladder outlet obstruction were treated with transurethral resection of the prostate (TURP) were included in the study. Group A (N=32) had been allocated to remove the catheters early (before forty-eight hours), and group B (N=32) to remove the catheters conventionally (between three to seven days).  TURP was performed using an A26 Fr. Resectoscope using a continuous sheath (Storz). The removal of the catheter was dependent upon normal vital signs. 
After TURP, the urethral catheter was withdrawn from group A within 48 hours and from group B within 3-5 days for those who satisfied the requirements for catheter removal. Urine samples were taken for sensitivity and culture in each patient right before the catheter was removed.  At the 14th Postoperative day and one month, all patients were monitored for further clinical assessment. Data was analyzed through SPSS version 16 and represented in mean and standard deviation.
Results: For the research, 60 participants with benign prostate enlargement were chosen. All of them received TURP treatment, and 32 patients in Group A had their catheters removed in 48 hours, while 32 patients in Group B had their catheters removed in 3-5 days using a more conventional procedure. After catheter removal both groups revealed experienced hematuria which was not statistically noteworthy. Group A's post-operative hospital stay was 48.13 (±8.93) hours, whereas Group B's was 114.25 (±10.9) hours (p<0.001). This difference was statistically significant. Each  participant was followed up on 14 Post -operative day Group A mean International Prostate Symptom Score, mean Post-Void Residual, and mean Qmax were calculated All differences were not statistically significant (p >0.05).
Conclusion: The study concluded that it is safe to remove a catheter early   after transurethral resection of the prostate which also lowers postoperative hospital stays and catheter-related morbidity.