Ahad Pervaiz, Shams-ul Islam, Fawad Nasrullah, Malik Tahir Mahmood, Abart Joshi, Syed Muhammad Hassan Akhtar.
Comparison of Outcome of Removal of Three Way Foley’s Catheter After Transurethral Resection of Prostate on 1st Versus 4th Post-Operative Day.
Pak J Med Health Sci Jan ;13(2):350-2.

Background: Benign enlargement of the prostate involves increase in the number of the epithelial and the stromal cells of the prostate which results in the formation of discrete , large nodules in the prostatic transition zone . Following prostatic resection, we insert a Foleys catheter from the urethra into the bladder with aim of draining the urine from the bladder. Time duration for indwelling catheter after TURP is not fixed. So we conducted a study to find whether early or delayed removal of catheter is associated with complications. Aim : To compare the outcome of 1st versus 4th postoperative day removal of 3 way Foley’s Catheter in terms of frequency of urinary tract infection and need for re-catheterization after prostatic resection for managemen tof benign prostate enlargement. Methods : This study was conducted in our ward for six months from January 01, 2018 to June 30, 2018. The patients were segregated into 2 groups. All TURP surgeries were performed by a senior surgeon under spinal anesthesia. Postoperatively, catheter irrigation with Normal Saline was applied. On the 1st POD Catheter was removed in one group in which weremoved catheter earlier while on 4th post-operative day in late catheter removal group. Urine sample was obtained to assess UTI and need for re-catheterization was assessed. Results : Mean age of the participants was 66.28+/-9.16 years and mean duration of obstruction of the patients was 6.99+/-3.11 months. UTI was found in 16(16%) cases and re-catheterization was required in 14% patients. In the 2 groups statistical difference was significant for outcome i.e. p-value less than 0.05. Conclusion : The early removal of catheter group patients showed better results and less need of re-catheterization as compared to late removal of catheter group after TURP for treatment of BPH.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com