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The safety of overnight hospitalization for transurethral prostatectomy: a prospective study of 200 patients
R J Cherrie1, R A Young, E V Cattolica
1Department of Urology, Kaiser Permanente Medical Center, Oakland, California 94611-5693, USA.
Purpose:
Our goal was to determine the appropriateness, safety and cost-effectiveness of catheter removal and hospital discharge 1 day after transurethral prostatectomy.
Materials And Methods:
A prospective study of 200 patients who underwent transurethral prostatectomy during a 23-month period was done. On the morning of postoperative day 1 catheters were removed from 156 patients (78%) who had normal vital signs, adequate urine output, absence of clots and acceptable character of the catheter effluent.
Results:
Among the 156 patients whose catheters were removed 4 of 5 went home on postoperative day 1. Two of these patients were rehospitalized within 30 days, as were 2 others whose catheters were removed later. Overall length of patient stay was 1.6 days.
Conclusions:
Overnight hospitalization after transurethral prostatectomy is an appropriate, safe and cost-effective pathway of patient care that is readily applicable to any urology practice.