Abstract
Transurethral resection of the prostate requires a catheter in situ post-surgery. Early removal of catheter can reduce the length of hospital stay reducing the healthcare cost. It can also reduce the risk of infection due to prolonged catheterization. Our aim was to determine the median duration of hospital stay after early foley's removal after transurethral resection of prostate among patients in a tertiary care hospital. A descriptive cross-sectional study was done in a tertiary care hospital from July 2019 to December 2020 and ethical clearance was obtained from the institutional review committee. Foley's catheter were removed on the first post-operative day, who met the criteria of catheter removal. Convenience sampling was done. After foley's removal patients were observed for spontaneous voiding. Patients with complications like hematuria, clot retention, urinary retention were recatherized. The data were expressed in mean with standard deviation, median with interquartile range and frequency and percentage as applicable using Statistical Package for the Social Sciences version 16. Out of the 150 participants included in the study, the median duration of hospital stay after the early removal of foley's catheter was 3 days (interquartile range 2-4 days). A total of 20 (13.3%) patients underwent recatherization. Nine (6%) patients had to be recatheterized due to clot retention, and 11 (7.3%) were due to urinary retention. This study showed that the median duration of hospital stay after early removal of foley's catheter among patients undergoing transurethral resection of the prostate was similar to studies done in national/international settings.
Highlights
IntroductionRemoval of a catheter can reduce the length of hospital stay reducing the healthcare cost
Transurethral resection of the prostate requires a catheter in situ post-surgery
Out of the 150 participants included in the study, the median duration of hospital stay after the early removal of foley's catheter was 3 days
Summary
Removal of a catheter can reduce the length of hospital stay reducing the healthcare cost. It can reduce the risk of infection due to prolonged catheterization. Benign prostatic hyperplasia (BPH) is considered as a part of ageing process in male and is hormonally dependent on testosterone and dihydrotestosterone (DHT) production.[1] There are various methods proposed for treatment of BPH, transurethral resection of prostate (TURP) remains gold standard.[2] The increasing number of patients, long waiting list for TURP and lengthy hospital stay due to post-operative foley’s catheterization is considered to be discomfort and cost disadvantage.[3] This can be overcome by early removal of foley’s catheter after TURP when appropriate and safe. Among the total cost of TURP, 29-33% represent hospital stay charges.[4]
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