Is group and saving before the modern transurethral resection of the prostate still necessary?
Kretzmer, L Damola, A Libotte, C Apakama, I
Kretzmer, L
Damola, A
Libotte, C
Apakama, I
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Affiliation
George Eliot Hospital NHS Trust, Nuneaton
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Publication date
2022-09
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Abstract
A group and save (G&S) sample is routinely taken preoperatively for patients undergoing a transurethral resection of the prostate (TURP). This procedure has become a key endo-urological procedure; however, it can be associated with complications such as bleeding, potentially requiring blood transfusion. The aim of our study was to assess the need for preoperative G&S sampling in all patients undergoing TURP.
This study was a retrospective review of all patients who underwent a TURP from January 2009 until December 2019 in one centre. A total of 687 patients were identified during this period. Data was collected on G&S samples, blood products and post-operative complications such as clot retention or if patients required a blood transfusion.
All patients had G&S samples taken prior to their operation, of these, only six (0.87%) patients required a blood transfusion. Half were transfused intra-operatively and half post-operatively. Remarkably, none of the transfused patients were below the National Institute for Health and Care Excellence (NICE) threshold to transfuse of <70g/dl(8). Six patients were also noted to develop clot retention following removal of catheter.
This study has determined that patients undergoing a TURP rarely require blood transfusions. We propose that the practice of routinely taking G&S samples prior to this procedure should be reviewed. This would give a financial benefit and relieve patients of an unnecessary test. We would recommend thorough optimisation of patients prior to surgery including review of anticoagulation and correction of any pre-operative anaemia.
Citation
Kretzmer L, Damola A, Libotte C, Apakama I. 17 Is Group and Saving Before the Modern Transurethral Resection of the Prostate Still Necessary? British Journal of Surgery. 2022 Sep 1;109(Supplement_6):znac269-491. doi: 10.1093/bjs/znac269.491.
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Conference Output