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Day case transurethral prostatectomy in Nigeria
1Department of Surgery, College of Medicine, University of lbadan and University College Hospital, Ibadan, Nigeria. liokeke@yahoo.com
West African Journal of Medicine
|August 4, 2004
Summary
Transurethral resection of the prostate (TURP) can be safely performed as a day case procedure under caudal block anesthesia. This study confirms that patients can void spontaneously and be discharged on the same day without adverse events.
Area of Science:
- Urology
- Anesthesiology
- Surgical Procedures
Background:
- Caudal block anesthesia has been utilized for outpatient procedures.
- Transurethral resection of the prostate (TURP) has been performed in Nigeria since 1995.
- Previous studies indicated the safety of TURP as a day case.
Purpose of the Study:
- To confirm the safety and efficacy of TURP as a same-day discharge procedure.
- To evaluate the outcomes of day-case TURP under caudal block anesthesia.
- To assess the feasibility of omitting postoperative catheterization.
Main Methods:
- 180 patients with benign prostatic enlargement underwent TURP under caudal block anesthesia (2% xylocaine with 1:80,000 adrenaline).
- Patients had prostate glands ≤ 60g and were managed as day cases.
- Hemostasis was ensured, and patients were discharged same-day after voiding, without postoperative catheterization.
Main Results:
- All patients resumed spontaneous voiding before discharge on the operative day.
- No adverse events were reported following same-day discharge.
- The procedure demonstrated a high safety profile for day-case management.
Conclusions:
- Day-case TURP without postoperative catheterization is safe and effective.
- Proper patient selection and understanding of prostate anatomy are crucial.
- This procedure can be reliably added to the list of outpatient surgical options.