Transurethral Resection of Prostate with and without Traction- A Retrospective Comparative Study

Abstract

Introduction: The study aims to compare safety, efficacy and early outcomes in patients who underwent mono polar transurethral resection of prostate (TURP) with and without bladder traction.

Materials and Methods: A retrospective comparative study was conducted in the Department of Urology, Manipal Teaching Hospital from August 2018 to August 2020 among the patients who underwent Traction TURP (TT TURP) and Traction less TURP (TL TURP). Patients’ demographic profile, preoperative investigations and perioperative parameters were noted. Postoperatively requirement of reapplication of traction, bladder washes, requirement of tranexamic acid for haematuria, Visual Analogue Score (VAS) score after 8 and 12 hours, length of hospital stay was compared between the two groups.

Results: There were total of 120 patients who underwent TURP. Among them 56 patients underwent Traction TURP (control group) and 64 patients underwent Traction less TURP (study group). There was no significant difference in terms of postoperative continuous haematuria, clot retention, blood transfusion or fall in haemoglobin. However there was significant difference in VAS after 8 hours (7.12 vs3.18; p=0.00) and 12 hours (5.78 vs1.71; p=0.00), requirement of additional analgesia (80.4% vs. 9.4%; p=0.00) and length of hospital stay (5.48 vs. 3.80; p=0.00).

Conclusion: Traction less TURP in patients undergoing mono polar TURP is safe and is associated with significantly lower morbidity.