Short Urethral Catheter Traction Time after TUR-P: Does its effect outcome?
Keywords:short, urethral, traction time, TUR-P
Problem: Various techniques of urethral catheter traction after Transurethral Prostatectomy (TUR-P) were written on various literatures. Prolonged traction prevented bleeding but it may cause discomfort and pressure necrosis. In Campbellûs urology 9th edition suggested traction time for 7 minutes and we changed our technique to short traction time.
Objective: To study the prevalence of bleeding after short urethral catheter traction time after TUR-P.
Patients and methods: We retrospectively studied data from medical record during May 2008-January 2009, 25 patients age 57-93 years (mean 72.8 years) underwent TUR-P and urethral catheter traction 7-10 minutes. After the operation, all patients had continuous bladder irrigation. Data collection included indications for surgery, operative time, resected prostatic tissue, blood transfusion and postoperative bleeding.
Result: Major Indication was urinary retention 56% (14 cases). The mean operative time was 67 minutes (25-125) and the mean resected prostatic tissue was 17 grams. (1.5-75). Two cases (8%) needed intraoperative blood transfusion. None had active bleeding that need re-traction or electrocoagulation. Two cases (8%) had clot retention and needed manual bladder irrigation.
Conclusion: Short urethral catheter traction times (7-10 minutes) after TUR-P was good technique even in large prostate glands and prevented patient discomfort.
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