Publication:

Post-operative day 2 versus post-operative day 4 foley catheter removal after trans urethral resection of prostate

Background Usually after TURP surgery for BPH, a three-way foleys catheter is placed transurethrally and removed post-operative day 4. This study done at our institute is to help decide the interval for removal of foley catheter following TURP, which is most beneficial to the patients. The objective is to know whether the POD-2 removal of the catheter in post TURP patients will be beneficial compared to the traditional POD-4 removal.

Methods This is a prospective study on 100 patients with BPH who underwent TURP. Patients were assigned to POD-2 and POD-4 groups. A standard TURP was performed on all the patients. After removing the catheter on POD-2 and POD-4, the patients were observed, and outcomes were carefully recorded in the two groups.

Results The highest incidence of the disease was in the age group of 60 - 75 years (70%). The majority of patients had nocturia present in 80 out of 100 patients (80%).55% of patients had grade III prostatomegaly. Most of the patients, 55 (55%), had prostate volume between 30 and 50 grams. No statistical significance noted in terms of retention of urine, post-void residual urine. The average duration of hospital stay post-surgery for group I was 3.7 days, and in group II was 5.1 days which is statistically significant.

Conclusions Our study shows that early catheter removal after two days following Transurethral Resection of Prostate (TURP) is safe, cost-effective to the patient, reduces the post-operative hospital stay.