Transurethral Resection of Prostate Without Traction: A Retrospective Observational Study

Authors

  • Ganesh Bhakta Acharya Manipal College of Medical Sciences
  • Niraj Thapa Manipal College of Medical Sciences
  • Sushil Mishra Manipal College of Medical Sciences
  • Abhishek Poudel Manipal College of Medical Sciences
  • Sagar Bhusal Manipal College of Medical Sciences

DOI:

https://doi.org/10.3126/njms.v7i1.43623

Keywords:

Benign Prostatic Hyperplasia, Hematuria, Transurethral Resection of Prostate

Abstract

Introduction: Application of traction after monopolar transurethral resection of prostate (TURP) is a common practice that causes significant discomfort to the patients. So can we avoid the morbidity of traction in a selected group of the patient where there is no significant hematuria after TURP? Hence we did a retrospective observational study to look for feasibility and safety of traction less TURP.

 Methods: It is a retrospective observational study conducted in the Department of Urology, Manipal Teaching Hospital from August 2018 to August 2020 in patients who underwent traction less TURP.  There was a total of 64 patients who fulfilled the inclusion criteria. All the demographic profiles, preoperative investigations, and perioperative parameters were noted. Postoperatively requirement of reapplication of traction, bladder washes, and application of tranexamic acid for hematuria, clot retention, and blood transfusion were noted. Statistical analysis was done by SPSS version 25.

 Result: Mean age and prostate size were 71 yrs. and 52 g. Sixteen(25%) patients were on antiplatelet therapy, fourteen(21%) patients had a catheter in situ and 34(53%) patients were on anti-BPH (Benign Prostatic Hyperplasia) medication. There were no patients who require re- traction, bladder washes, or application of intravenous tranexamic acid. There was one (1.56%) patient who had clot retention requiring evacuation and blood transfusion. VAS score after 8 hrs. and 12hrs. was 3.22 and 1.73. Mean hemoglobin fall was 0.81 g%.

 Conclusion: Traction after monopolar TURP can be safely omitted in carefully operated patients but traction should be reserved for those patients with continuous hematuria.

 

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Author Biographies

Ganesh Bhakta Acharya, Manipal College of Medical Sciences

Lecturer, Department of Urology

Niraj Thapa, Manipal College of Medical Sciences

Lecturer, Department of Urology

Sushil Mishra, Manipal College of Medical Sciences

Resident, Department of General Surgery

Abhishek Poudel, Manipal College of Medical Sciences

Resident, Department of General Surgery

Sagar Bhusal, Manipal College of Medical Sciences

Resident, Department of General Surgery

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Published

2022-01-31

How to Cite

Acharya, G. B. ., Thapa, N., Mishra, S., Poudel, A., & Bhusal, S. (2022). Transurethral Resection of Prostate Without Traction: A Retrospective Observational Study. Nepal Journal of Medical Sciences, 7(1), 18–22. https://doi.org/10.3126/njms.v7i1.43623

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Original Articles