A true day-case bi-polar Trans-urethral Resection of the Prostate (TURP) with same day Trial Without Catheter (TWOC): Is it possible?
BAUS ePoster online library. Siddiqui Z. 11/10/20; 304132; P8-11
Mr. Zain Siddiqui
Mr. Zain Siddiqui
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A true day-case bi-polar Trans-urethral Resection of the Prostate (TURP) with same day Trial Without Catheter (TWOC): Is it possible?

Siddiqui Z1, Ehsanullah S2, Bruce A2, Pailing A2, Madathilethu S2, Dhanasekaran A2
1Alexandra Hospital, Redditch, United Kingdom, 2City Hospital, Birmingham, United Kingdom

Introduction:
Transurethral resection of the prostate (TURP) is a common surgical management option for lower urinary tract symptoms secondary to prostatic enlargement. 85% of patients are discharged after TURP following a 1 to 2-night stay. There is a drive towards offering TURP as a day case procedure. We compare outcomes of Bi-polar TURP with TWOC within 24 hours versus TWOC beyond 24 hours to assess feasibility of day-case TURP.

Methods:
Data was collected retrospectively of all patients that had a TURP from 1st Jan 2018 to 31st Dec 2018. Patient records and electronic software were used to collate and analyse data.

Results:
144 TURP patients included in the study. N=65 patients had a TWOC <24 hours. Mean age was 69.6 years. Mean tissue resected was 14g. N=54 patients passed TWOC day 1 post TURP. N=4 patients re-presented with complications of urinary retention (n=1) and haematuria (n=3) <30 days of discharge. N=79 patients had a TWOC >24 hours. Mean age was 70.2 years. Mean tissue resected was 16g. N=61 patients passed their initial TWOC. N=4 patients re-presented with complications of Haematuria (n=1), Urinary retention (n=2) and urinary tract infection (n=2) <30 days of discharge. Two patients were managed with a long-term catheter.

Conclusions:
Our study shows comparable outcomes in both patient groups. There is no increased risk of complications for patients having TWOC within 24 hours avoiding patient discomfort and allowing the patient to be discharged safely within 24 hours. Our study shows a real possibility of offering true day-case TURP.
A true day-case bi-polar Trans-urethral Resection of the Prostate (TURP) with same day Trial Without Catheter (TWOC): Is it possible?

Siddiqui Z1, Ehsanullah S2, Bruce A2, Pailing A2, Madathilethu S2, Dhanasekaran A2
1Alexandra Hospital, Redditch, United Kingdom, 2City Hospital, Birmingham, United Kingdom

Introduction:
Transurethral resection of the prostate (TURP) is a common surgical management option for lower urinary tract symptoms secondary to prostatic enlargement. 85% of patients are discharged after TURP following a 1 to 2-night stay. There is a drive towards offering TURP as a day case procedure. We compare outcomes of Bi-polar TURP with TWOC within 24 hours versus TWOC beyond 24 hours to assess feasibility of day-case TURP.

Methods:
Data was collected retrospectively of all patients that had a TURP from 1st Jan 2018 to 31st Dec 2018. Patient records and electronic software were used to collate and analyse data.

Results:
144 TURP patients included in the study. N=65 patients had a TWOC <24 hours. Mean age was 69.6 years. Mean tissue resected was 14g. N=54 patients passed TWOC day 1 post TURP. N=4 patients re-presented with complications of urinary retention (n=1) and haematuria (n=3) <30 days of discharge. N=79 patients had a TWOC >24 hours. Mean age was 70.2 years. Mean tissue resected was 16g. N=61 patients passed their initial TWOC. N=4 patients re-presented with complications of Haematuria (n=1), Urinary retention (n=2) and urinary tract infection (n=2) <30 days of discharge. Two patients were managed with a long-term catheter.

Conclusions:
Our study shows comparable outcomes in both patient groups. There is no increased risk of complications for patients having TWOC within 24 hours avoiding patient discomfort and allowing the patient to be discharged safely within 24 hours. Our study shows a real possibility of offering true day-case TURP.
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