A randomized trial comparing bladder infusion with standard catheter removal after transurethral resection of the prostate.
OBJECTIVE
To examine the effect of bladder infusion before catheter removal on patients' readiness for discharge and the day of discharge after transurethral resection of the prostate (TURP).


METHODS
The study comprised 75 consecutive patients undergoing TURP who were randomized to either have their catheter removed in the standard manner (38 patients), or to undergo bladder infusion before a trial of voiding (ToV) on the second day after TURP (37 patients).


RESULTS
In those undergoing bladder infusion, seven (19%) patients were discharged on the same day as their ToV, compared with five (13%) in the standard group. Of the 75 patients, 15 (68%) were discharged by the third day after TURP whether or not the bladder had been filled. In the infusion group, 23 (62%) were ready for discharge on the same day as their TOV, compared with only 14 (37%) in the standard group (P < 0.05).


CONCLUSIONS
Bladder infusion before a ToV after TURP significantly increases the rate of readiness for discharge, allowing an early decision to discharge on the second day in a large proportion of patients.
Wilson
I D
ID
Department of Urology, Western General Hospital, Edinburgh, Scotland, UK.
Bramwell
S P
SP
Hollins
G W
GW
D006801:Humans; D007902:Length of Stay; D008297:Male; D011470:Prostatic Hyperplasia / Q000503:physiopathology / Q000601:surgery*; D007507:Therapeutic Irrigation / Q000379:methods; D020728:Transurethral Resection of Prostate / Q000379:methods*; D016896:Treatment Outcome; D014546:Urinary Catheterization / Q000379:methods*; D014554:Urination / Q000502:physiology