Mp72-03 prospective randomized trial for postoperative voiding outcome & patient-clinician satisfaction in retrograde bladder filling prior to catheter removal after transurethral prostatectomy

You have accessJournal of UrologyCME1 Apr 2023MP72-03 PROSPECTIVE RANDOMIZED TRIAL FOR POSTOPERATIVE VOIDING OUTCOME & PATIENT-CLINICIAN SATISFACTION IN RETROGRADE BLADDER FILLING PRIOR TO CATHETER REMOVAL AFTER TRANSURETHRAL PROSTATECTOMY Sang Hun Song, Jin Noh, Hae Sung Lee, Jun Hyun Nam, Byeongdo Song, Jung Kwon Kim, Jong Jin Oh, Sangchul Lee, Seong Jin Jeong, Sung Kyu Hong, Seok-Soo Byun, and Hakmin Lee Sang Hun SongSang Hun Song More articles by this author , Jin NohJin Noh More articles by this author , Hae Sung LeeHae Sung Lee More articles by this author , Jun Hyun NamJun Hyun Nam More articles by this author , Byeongdo SongByeongdo Song More articles by this author , Jung Kwon KimJung Kwon Kim More articles by this author , Jong Jin OhJong Jin Oh More articles by this author , Sangchul LeeSangchul Lee More articles by this author , Seong Jin JeongSeong Jin Jeong More articles by this author , Sung Kyu HongSung Kyu Hong More articles by this author , Seok-Soo ByunSeok-Soo Byun More articles by this author , and Hakmin LeeHakmin Lee More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003340.03AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Awaiting initial trial without catheter for evaluation for adequacy of discharge can be a time and resource consuming process in both inpatient and outpatient settings, and retrograde bladder filling with normal saline or sterile water is often attempted to expedite the process. However, previous randomized clinical trials have produced statistically insignificant results, with limited literature on men with BPH or patients undergoing TURP. This study intends to compare and evaluate outcomes in patients undergoing removal of catheter after TURP by either retrograde fill (RF) or spontaneous voiding (SV). METHODS: Male patients undergoing TURP for BPH from January 2019 to October 2019 were randomized into either RF or SV methods. Perioperative outcomes and complications were assessed, and satisfaction with either technique was assessed with questionnaires for the patient as well as the clinician (nurse or physician) involved in removing the Foley catheter. Time to void and time to discharge was compared to assess facilitation of discharge. RESULTS: Total 54 patients randomized into two groups were included in final analysis, with 28 men in retrograde filling and 26 in SV. No significant differences in baseline characteristics including age, prostate volume, or perioperative uroflowmetry were observed. RF significantly facilitated time to void (67±63.2 min vs 144±78.7; p=0.001) and time to discharge (168.4±57.2 vs. 218.9±106.9; p=0.046). Immediate postoperative Clavien-Dindo grade≥3 complication and reintervention within a 3 month follow-up were comparable in both methods with no significant difference. Overall patient and medical staff satisfaction showed tolerable and similar response by either procedure. CONCLUSIONS: RF for catheter removal in urologic inpatient settings is a safe and satisfactory method that can facilitate void and time-to-discharge, decreasing length of unnecessary hospital stay. When feasible, the procedure can be undertaken in routine clinical practice. Larger trials with long-term follow-up are required to further validate our results. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e1025 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Sang Hun Song More articles by this author Jin Noh More articles by this author Hae Sung Lee More articles by this author Jun Hyun Nam More articles by this author Byeongdo Song More articles by this author Jung Kwon Kim More articles by this author Jong Jin Oh More articles by this author Sangchul Lee More articles by this author Seong Jin Jeong More articles by this author Sung Kyu Hong More articles by this author Seok-Soo Byun More articles by this author Hakmin Lee More articles by this author Expand All Advertisement PDF downloadLoading ...