COMPARISON OF TWO DIFFERENT WAYS OF PASSING URETHRAL CATHETER AFTER TRANSURETHRAL RESECTION OF THE PROSTATE

Akpayak IC, Shuaibu SI, Onowa VE, Agbo CA

Available online Jul 11, 2018.

[ Review ] Volume 26, Issue 3, 2017, Pages 231-234


Abstract

OBJECTIVES:  To determine and compare the rate of success of two methods of passing urethral catheter following TURP using silicone Foley catheter: passing the urethral catheter with introducer into an empty bladder and passing the catheter without introducer into bladder filled with normal saline.


PATIENTS AND METHODS:  This was a prospective study carried out between October, 2013 and November, 2016 on 64 patients. Patients who had TURP for BPH where divided into 2 groups based on method of passing urethral catheter after the procedure: Group A: passing silicone urethral catheter with introducer into an empty bladder after TURP . Group B: passing silicone urethral catheter without introducer with bladder filled with normal saline. The outcomes of comparing the groups were computed using appropriate statistical tools.


RESULTS: Catheter was passed at single attempt for 15 patients in group A and 14 patients in group B. Successful passage of the catheter was achieved at 2 attempts for 7 patients in group A and 13 patients in group B. Whereas success was achieved at 3 attempts for 10 patients in group A and 5 patients in group B.  On comparing the success 2 of attempts to pass the catheter in each group, x = 0.721, p = 0.396.  Fisher exact test also did not reveal any significance, p = 0.286.


CONCLUSION: Passing silicone Foley urethral catheter into a bladder filled with normal saline after TURP is as effective as passing the catheter with the aid of introducer and guarantees no further injury to the urethra.

 


Keywords

TURP , urethral catheter, introducer,

July - September, 2017

Volume 26 | Issue 3

Page Nos. 231-234

Online since Oct 9, 2017

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