Is planned continuous irrigation indicated for haemorrhage following transurethral resection of the prostate?
A prospective audit was carried out of this unit's policy of non-irrigation following transurethral prostatectomy (TURP). Over an 11-month period 121 TURPs were performed. Only 29 patients required intervention to maintain bladder drainage post-operatively, 23 of these requiring bladder washout alone. In the remaining 6 patients catheter change and continuous irrigation were required. The weight of tissue resected was the only factor investigated which bore a significant relationship to the necessity for further intervention in bladder drainage post-operatively. Despite this, patients requiring continuous irrigation post-operatively could not be easily identified prior to or during surgery.
Mobb
G E
GE
Department of Urology, Selly Oak Hospital, Birmingham.
Farrar
D J
DJ
D000368:Aged; D000369:Aged, 80 and over; D006470:Hemorrhage / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care / Q000379:methods*; D011183:Postoperative Complications / Q000628:therapy*; D011446:Prospective Studies; D011467:Prostate / Q000473:pathology; D011468:Prostatectomy; D011469:Prostatic Diseases / Q000473:pathology / Q000601:surgery*; D007507:Therapeutic Irrigation