• Transurethral Resection of the Prostate Now and Then

      C Dowling, C; Moran, D; Walsh, A; Alsinnawi, M; Flynn, R; McDermott, TED; Grainger, R; Thornhill, JA (Irish Medical Journal, 2015-05)
      The number of transurethral resections of the prostate (TURP) performed each year is decreasing. The aim of this study was to assess a cohort of patients undergoing TURP and compare this to one twenty years earlier in terms of procedure, complications and outcomes. A retrospective comparative analysis of one hundred consecutive TURPs performed in 2010 was compared to one hundred cases performed in 1990. Fifty-five (55%) had a urinary catheter (UC) in situ pre-operatively in 2010 compared to 22 (22%) in 1990. The length of catheterisation time was significantly longer in 2010 compared with 1990 (average 65 days vs 20 days). Infective complications occurred in six (6%) patients in 2010 and three (3%) in the 1990 cohort. Patients who had UCs in situ pre-operatively for longer periods had a higher rate of infective complications and more serious complications. This highlights the importance of early specialist referral for patients diagnosed with urinary retention