ANALYSIS OF FACTORS AFFECTING THE IMMEDIATE POST-OPERATIVE EMPTYING FAILURE AFTER TRANSURETHRAL BENIGN PROSTATIC HYPERPLASIA SURGERY

You have accessJournal of UrologyBenign Prostatic Hyperplasia: Surgical Therapy & New Technology I (MP25)1 Apr 2020MP25-02 ANALYSIS OF FACTORS AFFECTING THE IMMEDIATE POST-OPERATIVE EMPTYING FAILURE AFTER TRANSURETHRAL BENIGN PROSTATIC HYPERPLASIA SURGERY Jungyo Suh*, Sangjun Yoo, Wan Song, Min Soo Choo, Juhyun Park, Ohseong Kwon, Min Chul Cho, Hyeon Jeong, and Hwancheol Son Jungyo Suh*Jungyo Suh* More articles by this author , Sangjun YooSangjun Yoo More articles by this author , Wan SongWan Song More articles by this author , Min Soo ChooMin Soo Choo More articles by this author , Juhyun ParkJuhyun Park More articles by this author , Ohseong KwonOhseong Kwon More articles by this author , Min Chul ChoMin Chul Cho More articles by this author , Hyeon JeongHyeon Jeong More articles by this author , and Hwancheol SonHwancheol Son More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000864.02AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: This study aims to assess the contributing factors of immediate post-operative emptying failure after transurethral benign prostatic hyperplasia (BPH) surgery. METHODS: We retrospectively reviewed 631 patents data, who underwent BPH surgery from January 2008 to November 2015. Need to catheterization due to voiding difficulty within 24 hours after BPH surgery defined as immediate post-operative emptying failure. Multivariable analysis was performed to assessing contributing factors of immediate post-operative emptying failure. We also reviewed spontaneous voiding recovery after emptying failure. RESULTS: Average age was 69.2±7.7year, PSA level was 9.8±34.2ng/ml, and prostate volume was 58.8±36.1cc. Pre-operative AUR was a presence in 147 patients (24.3%), and 44 patients (7%) experienced recurrent event. Among the variables previous AUR history (OR 2.99; 95% confidence intervals (CIs) 1.41-6.33; p-value < 0.01) and acontractile detrusor activity (OR 9.60; 95% CIs 2.72-33.86; p-value < 0.01) were associated with immediate post-operative emptying failure after BPH operation. All the patient with emptying failure recovered voiding function with average 6.83±7.03 days, except one loss of follow up patient. There were no statistic differences in days need to recovery between with and without previous AUR history (8.19 ± 8.64 days vs. 4.89 ± 3.00 days, p-value = 0.10) CONCLUSIONS: Although previous AUR history and decreased detrusor contractility are risk factor of immediate post-operative emptying failure, we could not avoid BPH surgery because almost 100% of patient recovered voiding function within several weeks. However, we should more carefully counselling before the surgery in these patients for the risk of immediate emptying failure. Source of Funding: None © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e391-e391 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Jungyo Suh* More articles by this author Sangjun Yoo More articles by this author Wan Song More articles by this author Min Soo Choo More articles by this author Juhyun Park More articles by this author Ohseong Kwon More articles by this author Min Chul Cho More articles by this author Hyeon Jeong More articles by this author Hwancheol Son More articles by this author Expand All Advertisement PDF downloadLoading ...