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A 27-Year Experience With Day Surgery Transurethral Resection of the Prostate
Tasciana T Gordon1, Neil Gordon2
1General Surgery, Mater Hospital, Brisbane, AUS.
Cureus
|March 8, 2024
Summary
Transurethral resection of the prostate (TURP) can be safely performed in a day surgery setting, reducing costs and improving patient quality of life. This approach minimizes morbidity and hospital burden, offering a viable alternative to traditional inpatient procedures.
Area of Science:
- Urology
- Surgical Procedures
- Healthcare Management
Background:
- Transurethral resection of the prostate (TURP) is a standard surgical treatment for lower urinary tract obstructive symptoms unresponsive to medical management.
- Advancements in TURP techniques have focused on reducing post-operative catheterization duration.
- Day surgery settings offer potential benefits for patient recovery and healthcare economics.
Purpose of the Study:
- To evaluate the feasibility and outcomes of conventional transurethral resection of the prostate (TURP) conducted in a day surgery environment.
- To assess the morbidity, patient quality of life, and cost-effectiveness of outpatient TURP.
- To describe the methods and results of TURP performed on a same-day surgery basis.
Main Methods:
- Retrospective study of 1,123 patients undergoing conventional (electrosurgical monopolar) TURP over 27 years at a day surgical hospital.
- Patients had a mean age of 73.6 years, with most receiving general anesthesia.
- Data collected on anesthesia type, American Urological Association (AUA) scores, and catheterization duration.
Main Results:
- The mean duration of catheterization was 6.4 days (range: 2-28 days).
- No patients were readmitted for urinary retention, clot retention, or sepsis.
- 11 patients required re-catheterization due to voiding difficulties post-catheter removal; patients were discharged with catheters in place.
Conclusions:
- Conventional TURP is effectively managed in the day surgery setting with minimal morbidity.
- Outpatient TURP improves patient quality of life and reduces hospital costs.
- Day surgery for TURP presents a streamlined, patient-centered, and economically advantageous healthcare option.
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