title: Transurethral resection of the prostate--"now and then".
abstract: The number of transurethral resections of the prostate (TURP) performed each year is decreasing. The aim of this study was to assess a cohort of patients undergoing TURP and compare this to one twenty years earlier in terms of procedure, complications and outcomes. A retrospective comparative analysis of one hundred consecutive TURPs performed in 2010 was compared to one hundred cases performed in 1990. Fifty-five (55%) had a urinary catheter (UC) in situ pre-operatively in 2010 compared to 22 (22%) in 1990. The length of catheterisation time was significantly longer in 2010 compared with 1990 (average 65 days vs 20 days). Infective complications occurred in six (6%) patients in 2010 and three (3%) in the 1990 cohort. Patients who had UCs in situ preoperatively for longer periods had a higher rate of infective complications and more serious complications. This highlights the importance of early specialist referral for patients diaqnosed with urinary retention.
authors.forename: C
authors.initials: C
authors.lastname: Dowling
authors.forename: D
authors.initials: D
authors.lastname: Moran
authors.forename: A
authors.initials: A
authors.lastname: Walsh
authors.forename: M
authors.initials: M
authors.lastname: Alsinnawi
authors.forename: R
authors.initials: R
authors.lastname: Flynn
authors.forename: T E D
authors.initials: TE
authors.lastname: McDermott
authors.forename: R
authors.initials: R
authors.lastname: Grainger
authors.forename: J A
authors.initials: JA
authors.lastname: Thornhill
mesh_terms: D000368:Aged; D042241:Early Diagnosis; D061345:Early Medical Intervention; D006801:Humans; D007494:Ireland / Q000453:epidemiology; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control; D057234:Preoperative Period; D011470:Prostatic Hyperplasia / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery; D012189:Retrospective Studies; D013997:Time Factors; D020728:Transurethral Resection of Prostate / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data; D016896:Treatment Outcome; D014546:Urinary Catheterization / Q000009:adverse effects / Q000379:methods; D016055:Urinary Retention / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D014552:Urinary Tract Infections / Q000209:etiology / Q000517:prevention & control