Abstract
Introduction: Transurethral resection of the prostate (TURP), entered our service in October 2015, since then it became a part of the service daily activity. The aim of our study is to assess the acceptance of the technic by our patients and by the nursing staff and to analyze the results of our initial experience. Materials and Methods: Retrospective study over 14-month (October 2015 to December 2016); bringing together all the patients who received TURP. The inclusion criteria are to have benefited from a TURP in our service. The exclusion criteria all patients operated by other techniques. It was a monopolar resection of the prostate using a glycocolle loop, the size limit of the prostate was 65 cc or less. A questionnaire on the knowledge of the technique and its acceptance is made. The parameters studied the age of the patient; surgical indications; the course of the operation, the complications and the course. The frequency of TURP compared to other techniques and the demand for this technique by patients. The urinary catheter was left in place for 4 days, the patients were seen again on day 7 after the catheter was removed to assess the urine flow, a question regarding the opinion of the nursing staff was included and analyzed separately. Results: The total number of patients was 146; the mean age was 68.2 years. The main cause of consultation was urine retention 65%. The average duration of the intervention was 56 minutes. The average length of hospital stay was 28 hours. The urinary catheter was removed on day 4. Complications were bleeding in 7% of cases requiring blood transfusions. Failure to remove the indwelling catheter leads to revision via the transurethral route. The TURP syndrome was observed in 2 patients in our early patients but quickly resolved. The outcome was favorable in 75% of cases. Post operating management give satisfaction for nurse and acceptance was a success. Conclusion: TURP is now a routine surgical activity; it seems to have an upright place for BPH in our department; its impact on morbidity was remarkable.
Highlights
Transurethral resection of the prostate (TURP), entered our service in October 2015, since it became a part of the service daily activity
The urinary catheter was left in place for 4 days, the patients were seen again on day 7 after the catheter was removed to assess the urine flow, a question regarding the opinion of the nursing staff was included and analyzed separately
The reason for consultation was dominated by urinary retention (UR) in 62% cases and signs of the lower urinary tract (SUBA) in 35% (Figure 2)
Summary
Transurethral resection of the prostate (TURP), entered our service in October 2015, since it became a part of the service daily activity. Transurethral resection of the prostate (TURP) is the gold standard for the surgical treatment of benign prostatic hyperplasia. This technique entered our service in August 2015. The objective of our study was to assess the acceptability of the technique, our results at the start of the experiment and the prospects for improvement. To introduce this treatment was a challenge for hospital where it never uses urological endoscopic before, for medical staff to have new habitude for managing patient and material, for patients who wait results of the new technique.
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