A ten-year observational study of the use of two-way catheters post-transurethral resection of the prostate without the use of post-op irrigation
Damola, Adebiyi Apakama, Ike Sandher, Manvir JS Martin, William Ehsanullah, Syed Ali Jones, Adam Cakir, Serkan Gao, Jo Ginepri, Andrea
Damola, Adebiyi
Apakama, Ike
Sandher, Manvir JS
Martin, William
Ehsanullah, Syed Ali
Jones, Adam
Cakir, Serkan
Gao, Jo
Ginepri, Andrea
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Affiliation
The George Eliot Hospital NHS Trust; University of Warwick; Heart of England NHS Foundation Trust
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Publication date
2022-04-01
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Abstract
Background:
Over 15,000 transurethral resections of the prostate (TURP) are performed annually in the United Kingdom. It is therefore vital that every aspect of peri-operative care be optimised. Our centre favours the use of two-way catheters post-operatively without the use of continuous bladder irrigation (CBI).
Objectives:
To evaluate our practice of using two-way catheters without irrigation post-TURP and to determine impact on patient care compared with standard three-way catheterisation. Our primary outcome was duration of admission, but multiple secondary outcomes were also analysed.
Design, setting, and participants: This was a prospective observational study. Every patient undergoing TURP at our centre from 2009 to 2019 was included. Following TURP patients were catheterised with two-way catheters. Prospective patient data were collected pertaining to peri-operative factors. These data were then compared with the data published in the literature.
Results:
687 patients underwent TURP at our centre between 2009 and 2019. The average age of patients was 71.42 (±7.89). 87.17% (n = 598) had two-way catheters placed post-operatively. Average duration of admission was 1.61 (±1.35) days, increasing to 2.20 days if patients required three-way catheters or 2.53 days if requiring CBI. TWOC was successful in 97.71% of patients. Complication rate was 8.73% (n = 60). When compared with other centres, our method reduced lengths of admission and transfusion rates (1.6 days versus 3.1 days and 0.87% versus 2.83%, respectively).
Conclusion:
Our method is safe and is associated with a reduced length of admission. We recommend this practice to the wider urological community.
Patient summary:
This study looked at whether there was any impact on patients if two-way catheters were used following TURP. We found that use of two-way catheters reduced length of admission and duration of catheterisation. We also found that it did not increase likelihood of peri-operative complications in comparison with other centres.
Citation
1. Kretzmer L, Damola A, Sandher MJ, et al. A ten-year observational study of the use of two-way catheters post-transurethral resection of the prostate without the use of post-op irrigation. Journal of Clinical Urology. 2022;0(0). doi:10.1177/20514158221081815
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Article