Early Removal of 3 Way Foleys Catheter after Transurethral Resection of Prostate is Beneficial?

Abstract

Objective: To compare the outcome of three way foleys catheter removed on 2^nd and 5^th day after Transurethral resection of Prostate for BPH regarding postoperative retention of urine , urine culture and hospital stay.

Study Design: Quasi Experimental study.

Place and Duration of Study: This study was carried out in Department of Urology, University of Medical & health sciences Jamshoro from from July 2010 to December 2011.

Materials & Methods: This study consisted of 50 patients were divided in two groups. Group A for catheter was removed on 2nd post operative day of Trans Uretheral resection of prostate and group B for catheter was removed on 5th Post Operative Day of  Trans Uretheral resection of prostate, each group consist of 25 patients.Detailed History was taken from all the patients with special regard to the urinary retention. Inclusion criteria were that all diagnosed as case of BPH on the basis of history and investigations. Exclusion criteria included unfit patients for general anesthesia, presented with chronic urinary retention, hematological disorders, pre operative infected urine and concurrent uretheral stricture.

Results: Re-catheterization were in 2 patients (8%) group A and 1 patient (4%) in group B. Post operative urine culture growth of organism (bacteriuria) were 1 patient (4%) in group A and 3 patients (12%) in group B. Duration of hospital stay in group A was 5.68 days as compared to the patients in group B was 8.44 days.

Conclusion: In conclusion, early catheter removal had a dramatic impact on hospital stay. Catheters can be removed early after transurethral resection of prostate with no increase in morbidity and maintain the efficacy of the procedure, resulting in considerable savings to their patients. Our study confirms the safety of an irrigation-free and early catheter removal policy after TURP.