Tatsuo Nakagawa1, Allan G Toguri. 1. Department of Urology, Nagano Matsushiro General Hospital, Nagano, Japan. tatsuo-n@mx1.avis.ne.jp
Abstract
OBJECTIVES: To assess and review catheter removal on the first day after transurethral prostatectomy. SUBJECTS AND METHODS: The study included 431 consecutive patients who underwent transurethral prostatectomy between 2000 and 2003 at a Scarborough General Hospital, Toronto, Canada. The equipment used was a standard resectoscope with a regular loop. No roller ball or other gadget was used. The cutting and coagulation electrical variables were standard at 160 and 60 W for the generator used. The decision to remove the catheters was based on normal vital signs, adequate urine output, absence of clots and acceptable color of the catheter effluent. RESULTS: Catheters were removed in 415 (96.3%) patients on postoperative day 1. Of the 415 patients 332 (80.0%) were discharged on the same day. The criteria for catheter removal on postoperative day 1 were not met in 16 (3.7%) patients and the mean indwelling catheter time was 4.8 +/- 2.4 days and the mean length of hospital stay after surgery was 6.2 +/- 3.3 days. For the entire group, the mean indwelling catheter time was 1.1 +/- 0.8 days and the mean length of hospital stay after surgery was 1.6 +/- 1.5 days. Risk factors which predicted delayed removal were age, postoperative bleeding and several comorbidities, that is coronary heart disease, renal insufficiency and Alzheimer's disease. CONCLUSIONS: Removal of the catheter on the first postoperative day after transurethral prostatectomy seems to be feasible, safe and cost-effective without increasing significant morbidity in selected patients. (c) 2006 S. Karger AG, Basel
OBJECTIVES: To assess and review catheter removal on the first day after transurethral prostatectomy. SUBJECTS AND METHODS: The study included 431 consecutive patients who underwent transurethral prostatectomy between 2000 and 2003 at a Scarborough General Hospital, Toronto, Canada. The equipment used was a standard resectoscope with a regular loop. No roller ball or other gadget was used. The cutting and coagulation electrical variables were standard at 160 and 60 W for the generator used. The decision to remove the catheters was based on normal vital signs, adequate urine output, absence of clots and acceptable color of the catheter effluent. RESULTS: Catheters were removed in 415 (96.3%) patients on postoperative day 1. Of the 415 patients 332 (80.0%) were discharged on the same day. The criteria for catheter removal on postoperative day 1 were not met in 16 (3.7%) patients and the mean indwelling catheter time was 4.8 +/- 2.4 days and the mean length of hospital stay after surgery was 6.2 +/- 3.3 days. For the entire group, the mean indwelling catheter time was 1.1 +/- 0.8 days and the mean length of hospital stay after surgery was 1.6 +/- 1.5 days. Risk factors which predicted delayed removal were age, postoperative bleeding and several comorbidities, that is coronary heart disease, renal insufficiency and Alzheimer's disease. CONCLUSIONS: Removal of the catheter on the first postoperative day after transurethral prostatectomy seems to be feasible, safe and cost-effective without increasing significant morbidity in selected patients. (c) 2006 S. Karger AG, Basel
Authors: Woong Jin Bae; Sun Gook Ahn; Jun Ho Bang; Jang Ho Bae; Yong Sun Choi; Su Jin Kim; Hyuk Jin Cho; Sung Hoo Hong; Ji Youl Lee; Tae-Kon Hwang; Sae Woong Kim Journal: Korean J Urol Date: 2013-01-18