Chander J, Vanitha V, Lal P, Ramteke V K
Department Of Surgery, Maulana Azad Medical College, New Delhi, India.
BJU Int. 2003 Sep;92(4):422-5. doi: 10.1046/j.1464-410x.2003.04364.x.
To evaluate the feasibility of transurethral resection of the prostate (TURP) as catheter-free day-care surgery.
The study comprised 64 patients (mean age 62.4 years) with a mean (range) American Urological Association symptom score of 21.4 (9-31) and prostate volume (by ultrasonography) of 32.8 (17-50) mL, and with no significant comorbidity. The patients were admitted on the morning of the surgery and, under brief spinal anaesthesia, underwent standard TURP. After surgery the urethral catheter was removed as soon as the effluent was clear. The patients were discharged after they could pass urine freely and with a good stream.
The mean duration of catheterization after TURP was 7.15 h; 59 patients (92%) had their catheter removed within 10 h (mean duration 6.42 h). There were no major complications during or after TURP. After removing the catheter, no patients required its reinsertion for failure to void or for clot retention. The mean hospital stay after TURP was 10.7 h and 98% of patients were discharged within 23 h of surgery.
TURP can be conducted safely in a day surgery setting in patients with mild to moderate benign prostatic enlargement and no coexisting medical illness.
评估经尿道前列腺切除术（TURP）作为无导尿管日间手术的可行性。
本研究纳入64例患者（平均年龄62.4岁），美国泌尿外科学会症状评分平均（范围）为21.4（9 - 31），前列腺体积（经超声检查）为32.8（17 - 50）mL，且无明显合并症。患者于手术当日上午入院，在短暂脊髓麻醉下接受标准TURP手术。术后一旦引流液清澈即拔除尿道导尿管。患者能够自主排尿且尿流良好后即可出院。
TURP术后导尿管留置的平均时长为7.15小时；59例患者（92%）在10小时内拔除导尿管（平均时长6.42小时）。TURP术中及术后均无重大并发症。拔除导尿管后，无患者因排尿失败或血块潴留而需要重新插入导尿管。TURP术后平均住院时间为10.7小时，98%的患者在手术23小时内出院。
对于轻度至中度良性前列腺增生且无并存内科疾病的患者，TURP可在日间手术环境中安全进行。
