Transurethral resection of the prostate--"now and then"

Ir Med J. 2015 May;108(5):144-6.

Abstract

The number of transurethral resections of the prostate (TURP) performed each year is decreasing. The aim of this study was to assess a cohort of patients undergoing TURP and compare this to one twenty years earlier in terms of procedure, complications and outcomes. A retrospective comparative analysis of one hundred consecutive TURPs performed in 2010 was compared to one hundred cases performed in 1990. Fifty-five (55%) had a urinary catheter (UC) in situ pre-operatively in 2010 compared to 22 (22%) in 1990. The length of catheterisation time was significantly longer in 2010 compared with 1990 (average 65 days vs 20 days). Infective complications occurred in six (6%) patients in 2010 and three (3%) in the 1990 cohort. Patients who had UCs in situ preoperatively for longer periods had a higher rate of infective complications and more serious complications. This highlights the importance of early specialist referral for patients diaqnosed with urinary retention.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Early Diagnosis
  • Early Medical Intervention
  • Humans
  • Ireland / epidemiology
  • Length of Stay / statistics & numerical data
  • Male
  • Postoperative Complications* / diagnosis
  • Postoperative Complications* / epidemiology
  • Postoperative Complications* / prevention & control
  • Preoperative Period
  • Prostatic Hyperplasia* / complications
  • Prostatic Hyperplasia* / diagnosis
  • Prostatic Hyperplasia* / epidemiology
  • Prostatic Hyperplasia* / surgery
  • Retrospective Studies
  • Time Factors
  • Transurethral Resection of Prostate* / adverse effects
  • Transurethral Resection of Prostate* / methods
  • Transurethral Resection of Prostate* / statistics & numerical data
  • Treatment Outcome
  • Urinary Catheterization* / adverse effects
  • Urinary Catheterization* / methods
  • Urinary Retention* / diagnosis
  • Urinary Retention* / etiology
  • Urinary Retention* / therapy
  • Urinary Tract Infections* / etiology
  • Urinary Tract Infections* / prevention & control