Is routine post-operative haemoglobin measurement required after transurethral resection of the prostate?
The aim of this study is to evaluate the rate of blood transfusion during the post-operative period in patients undergoing transurethral resection of the prostate (TURP) and to determine the value of using post-operative haemoglobin (Hb) measurement as a guide to transfusion requirements. In a retrospective study, pre- and post-operative Hb measurements and the resected prostatic tissue weights were recorded for 106 patients. There was a statistically significant change in the Hb concentration within 48 h of the operation (P < 0.0001), although this was clinically insignificant in the majority of patients. The post-operative blood transfusion rate was 0.85% and there was a significant correlation between change in Hb concentration and the resected tissue weight (P < 0.0001). Our results show that routine post-operative Hb is not necessary in patients following a TURP.
Shah
J
J
Department of Urology, Kingston Hospital, Surrey, UK. jyoti.shah@imperial.ac.uk
Nethercliffe
J
J
D000368:Aged; D000369:Aged, 80 and over; D006454:Hemoglobins / Q000032:analysis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009929:Organ Size; D011182:Postoperative Care; D011468:Prostatectomy / Q000379:methods*; D012189:Retrospective Studies; D014521:Urethra / Q000601:surgery
D006454:Hemoglobins