MP32-18 THE EFFECT OF ANAESTHESIA MODALITIES ON SUCCESSFUL TRIAL WITHOUT CATHETER IN TRANSURETHRAL RESECTION OF PROSTATE

Abstract

You have accessJournal of UrologyBenign Prostatic Hyperplasia: Surgical Therapy & New Technology II (MP32)1 Apr 2020MP32-18 THE EFFECT OF ANAESTHESIA MODALITIES ON SUCCESSFUL TRIAL WITHOUT CATHETER IN TRANSURETHRAL RESECTION OF PROSTATE Adam Pailing, Angus Bruce, Sandra Madathilethu*, Harvinder Mann, Syed Ali Ehsanullah, and Andana Kumar Dhanasekaran Adam PailingAdam Pailing More articles by this author , Angus BruceAngus Bruce More articles by this author , Sandra Madathilethu*Sandra Madathilethu* More articles by this author , Harvinder MannHarvinder Mann More articles by this author , Syed Ali EhsanullahSyed Ali Ehsanullah More articles by this author , and Andana Kumar DhanasekaranAndana Kumar Dhanasekaran More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000876.018AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Transurethral resection of the prostate (TURP) remains the gold standard surgical option for lower urinary tract symptom surgery. Newer treatment options focus on ease of treatment delivery and brief or no urinary catherization. There is only limited data available in the literature regarding the effects of anaesthesia on successful post-TURP trail without catheters (TWOC). We present our comparative study on the outcomes of TWOC in patients having TURP under general anaesthesia (GA) versus spinal anaesthesia (SA). METHODS: Retrospective data collection from an inner city hospital trust was performed over an 18-month period, from January 2018-June 2019. Electronic patient records, operative notes and anaesthetic checklists were used in order to obtain patient data. A total of 194 patients were identified. Eleven patients were excluded due to failure to void spontaneously n = 183. This cohort was divided into groups of GA n = 90 patients and SA n = 93 patients. RESULTS: Mean patient age and prostate resection weight was 67.5 years and 16 grams respectively in the GA group and 73 years and 19 grams in the SA group. 66 patients (73%) of the GA cohort were discharged following a successful TWOC within 48 hours as compared to 57 patients (61%) in the spinal anaesthesia group. It took an average of 12 days for the remaining n=24 patients (26%) to successfully pass their community TWOC in the GA cohort as compared to 18 days for the remaining n=36 patients (38.7%) of the spinal anaesthesia cohort. CONCLUSIONS: Our study demonstrates a favourable outcome of in-hospital TWOC as well as community TWOC in GA patients when compared to patients receiving SA for TURP. Further large scale research is required to determine clear effects and benefits of various anaesthesia modalities. Factors that may influence the choice of anaesthesia include patient choice, co-morbidities e.g. bleeding diathesis, spinal abnormalities and operator preference. Post-operative haematuria, bladder compliance and detrusor contractility may contribute to delayed TWOC and discharge. Source of Funding: None. © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e491-e492 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Adam Pailing More articles by this author Angus Bruce More articles by this author Sandra Madathilethu* More articles by this author Harvinder Mann More articles by this author Syed Ali Ehsanullah More articles by this author Andana Kumar Dhanasekaran More articles by this author Expand All Advertisement PDF downloadLoading ...