Enhanced recovery after surgery in thulium laser prostatectomy: benefits and complication risk factors

To investigate the application of Enhanced Recovery After Surgery (ERAS) in the nursing care of patients undergoing Thulium laser prostatectomy and analyze the factors affecting postoperative complications.

This retrospective study analyzed the clinical data of 108 patients who underwent Thulium Laser Prostatectomy in the Zhejiang University Sir Run Run Shaw Alaer Hospital from July 2022 to October 2023. Among them, 58 patients who received nursing care based on the concept of ERAS from January 2023 to October 2023 were assigned to the study group, while the other 50 patients who received conventional nursing care from July 2022 to December 2022 were assigned to the control group. Postoperative recovery indicators, satisfaction with nursing care services, and postoperative complications were analyzed. Logistic regression analysis was used to identify factors affecting complications after Thulium laser prostatectomy.

The study group showed significantly shorter time to first flatus, lower pain scores on the first day after surgery, shorter time to first out-of-bed activity, and shorter hospital stay than the control group (all P < 0.0001). Compared with the control group, the study group expressed notably higher nursing care satisfaction (P=0.0151) and showed a significantly lower incidence of postoperative complications (P=0.0236). Logistic regression analysis identified disease duration and nursing care intervention as independent risk factors affecting patient complications.

For patients undergoing Thulium Laser Prostatectomy, ERAS contributes to good postoperative recovery and patient satisfaction and less complications. Disease duration and nursing care intervention were identified as independent factors impacting post-operative complications.