The relationship between urethral catheterization before TUR-P and postoperative stricture

Area of Science:

• Urology
• Surgical Outcomes

Background:

• Postoperative urethral stricture is a complication following transurethral resection of the prostate (TUR-P).
• The role of preoperative urinary catheterization in preventing this complication is not well-established.

Purpose of the Study:

• To investigate the association between short-term preoperative urinary catheter use and the incidence of postoperative urethral stricture in patients undergoing TUR-P.

Main Methods:

• Retrospective review of 150 patients who underwent monopolar TUR-P.
• Patients were categorized into two groups: with and without preoperative urethral catheterization.
• Urethral stricture diagnosis confirmed via clinical assessment, urethrography, and cystoscopy.

Main Results:

• The overall urethral stricture rate was 8.7%.
• Patients with preoperative catheterization had a significantly lower stricture rate (2.9%) compared to those without (13.6%) (p=0.020).
• No correlation found between catheter duration and stricture development; hypertension showed an inverse association.

Conclusions:

• Short-term preoperative urethral catheterization may be linked to a reduced risk of postoperative urethral stricture after TUR-P.
• The retrospective nature of this study precludes definitive causal conclusions.
• Further prospective research is warranted to confirm these findings.