title: Trail without Catheter after Transurethral Resection of Prostate: Clamp It or Not?
abstract: Background. There has been argument between clinical practitioners about clamping catheter or not prior to its removal after transurethral resection of prostate (TURP). We conducted a clinical trial to assess whether clamping has any role in early bladder tone recovery particularly in patients who undergo TURP. Methods. Randomized clinical trial was conducted at a tertiary care hospital, Karachi from January 2014 to July 2015. Eighty-six study participants who underwent TURP were randomly allocated into two groups of 43 participants each. In Group I, patient's Foley catheter was not clamped prior to its removal and in Group II Foley catheter was clamped. Data of all subjects were analyzed using SPSS version 20. Results. There was no significant difference in age and weight of resected tissues between two groups. Among 4 patients in Group I who required recatheterization, 1 patient was discharged with catheter as compared to Group II in which 2 patients were discharged with catheter (P = 0.99). Only 1 patient (2.3%) in Group II had bleeding which required recatheterization. Length of stay was significantly affected by early and free removal of Foley catheter (P < 0.001). Conclusion. The results of current study identified that clamping whether done or not had no significant impact on urinary retention.
authors.affiliation: Department of Surgery, Jinnah Medical College Hospital, SR-6, 7/A, Korangi Industrial Area, Karachi 74900, Pakistan.
authors.forename: Vikash
authors.initials: V
authors.lastname: Talreja
authors.affiliation: Department of Surgery, Jinnah Medical College Hospital, SR-6, 7/A, Korangi Industrial Area, Karachi 74900, Pakistan.
authors.forename: Aun
authors.identifier: 0000-0002-9980-5452
authors.initials: A
authors.lastname: Ali
authors.affiliation: Department of Surgery, Jinnah Medical College Hospital, SR-6, 7/A, Korangi Industrial Area, Karachi 74900, Pakistan.
authors.forename: Summaya
authors.initials: S
authors.lastname: Saeed
authors.affiliation: Department of Obstetrics and Gynecology, Jinnah Medical College Hospital, SR-6, 7/A, Korangi Industrial Area, Karachi 74900, Pakistan.
authors.forename: Kiran
authors.initials: K
authors.lastname: Rani
authors.affiliation: Department of Emergency, Jinnah Medical College Hospital, SR-6, 7/A, Korangi Industrial Area, Karachi 74900, Pakistan.
authors.forename: Sunil Sadruddin
authors.identifier: 0000-0003-4741-3542
authors.initials: SS
authors.lastname: Samnani
authors.affiliation: Mind and Brain Service Line, Aga Khan University Hospital, Stadium Road, P.O. Box 3500, Karachi, Pakistan.
authors.forename: Farah Naz
authors.initials: FN
authors.lastname: Farid
authors.affiliation: Department of Surgery and Urology, Jinnah Medical College Hospital, SR-6, 7/A, Korangi Industrial Area, Karachi 74900, Pakistan.
authors.forename: Mumtazuddin
authors.initials: M
authors.lastname: Haider