ABSTRACT

Aim:To compare the complications rate between delayed catheter removal and early catheter removal in TURP.

Methods: This randomized controlled trail was conducted at Department of Urology, Sahiwal Medical College, Sahiwal from February 2019 to December 2019 over the period of 10 months.Total 144 patients with obstruction of bladder outflow due to benign prostatic enlargement having age 65-85 years were selected.At 6^th day after TURP, catheter was removed from patients of group A and at 2^nd day from patients of group B.Post-operative complications were compared between the both study groups.

Results: In present study total 144 patients were selected and TURP was performed.Mean age of patients was 83.62 ± 8.21 years, mean age of patients of group A and B was 84.25 ± 7.95 years and 82.99 ± 8.47 years respectively.Mean resected prostate tissue weight in Group-A and Group B was 45.83 ± 8.25 grams and 44.13 ± 6.58 grams respectively. Mean duration of resection was 52.35 ± 11.31 minutes.Complication was found in 30 (41.67%) patients of group A while in 18 (25%) patients of group B.Significantly higher rate of complications was noted in group A as compared to group B with p value 0.034.

Conclusion: Results of this study showed that most of the patients belonged to 8^th decade of life.Higher rate of complications was observed.Significantly higher rate of compliations was observed in delayed catheter removal group as compared to early catheter removal group.Re-catheterization, UTI and clot retention was the most common complications observed.