Assessing safety and feasibility of monopolar transurethral resection of the prostate without post-operative catheter traction: A randomized controlled trial.

IF 0.8 Q4 UROLOGY & NEPHROLOGY Urologia Journal Pub Date : 2024-11-01 Epub Date: 2024-04-29 DOI:10.1177/03915603241249227
Abhineeth Kp, Kumar Madhavan, Devashish Kaushal, Manoj Biswas, Sonu Kumar Plash, Viswas Mr
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Abstract

Introduction: Traction on the per-urethral catheter is commonly employed after monopolar transurethral resection of the prostate (mTURP) to reduce bleeding. However, its efficacy and impact on postoperative pain remain uncertain. Further, there is limited evidence to suggest any benefit regarding post-operative blood loss.

Materials and methods: In a randomized controlled trial, 62 patients undergoing mTURP were assigned to either a traction (n = 30) or non-traction (n = 32) group. Blood loss, postoperative pain, and analgesic requirements were assessed between January 2022 and April 2023. {(IHEC-PGR/2021/DM/M.Ch/Jan/02), CTRI Registration: CTRI/2022/01/039199.}.

Results: No significant differences were observed between the traction and non-traction groups regarding postoperative blood loss (p-value- 0.632), fall in hemoglobin (p-value- 0.719) and hematocrit (p-value- 0.937) levels, and length of postoperative hospital stay (p-value- 0.797). However, the traction group reported significantly higher postoperative pain scores (p-value < 0.001) and increased analgesic requirements (p-value < 0.001).

Conclusion: The study suggests that 12-hours catheter traction after mTURP does not reduce blood loss and is associated with increased postoperative pain.

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评估无术后导管牵引的单极经尿道前列腺切除术的安全性和可行性:随机对照试验。
导言:单极经尿道前列腺切除术(mTURP)后通常会使用牵引尿道导管来减少出血。然而,其疗效和对术后疼痛的影响仍不确定。此外,关于术后失血的益处的证据也很有限:在一项随机对照试验中,62 名接受 mTURP 的患者被分配到牵引组(30 人)或非牵引组(32 人)。2022 年 1 月至 2023 年 4 月期间,对失血量、术后疼痛和镇痛需求进行了评估。{(IHEC-PGR/2021/DM/M.Ch/Jan/02),CTRI 注册:CTRI/2022/01/039199.}.Results:结果:牵引组和非牵引组在术后失血量(p 值- 0.632)、血红蛋白(p 值- 0.719)和血细胞比容(p 值- 0.937)水平下降以及术后住院时间(p 值- 0.797)方面无明显差异。然而,牵引组的术后疼痛评分明显更高(p 值 p 值 结论:研究表明,经皮直肠癌根治术后 12 小时的导管牵引并不能减少失血量,而且会增加术后疼痛。
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来源期刊
Urologia Journal
Urologia Journal UROLOGY & NEPHROLOGY-
CiteScore
0.60
自引率
12.50%
发文量
66
期刊最新文献
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