DOI: 10.36347/sjams.2021.v09i03.028

Pages: 435-440

Incomplete homeostasis during monopolar transurethral resection of prostate (TURP) makes post-surgical bleeding one of its major draw-back. Proponents of catheter traction and irrigation claim that these reduce the incidence of bleeding from prostatic fossa and catheter blockage. This study proves that there is no need of post-operative catheter traction and irrigation if meticulous haemostasis is achieved intra-operatively. This way we can reduce the discomfort to the patient and the early and long term complications of monopolar TURP. Methods and Material: In this study, data of 645 patients who underwent monopolar TURP over 5 years (January 2015 to December 2019) was collected retrospectively. Patients were enrolled in two groups based on operative techniques and post operative management in terms of their protocols regarding application of catheter traction and irrigation. We compared the results in these groups. Results: Post-operatively 388 patients were managed with catheter traction and irrigation (Group A) while 245 patients were managed without catheter traction and irrigation (Group B). Episodes of catheter blockage, catheter change in ward, need of cystoscopic clot evacuation, drop in hemoglobin level, duration of post operative catheterization and duration of hospital stay were statistically significantly low in Group B. While post-op culture positive UTI was less in group B, which was statistically not significant. Conclusions: If meticulous hemostasis techniques are followed and post operative urine output is maintained adequately, monopolar TURP without catheter traction and irrigation is preferable, safe and has fewer complications in comparison to TURP with irrigation and traction.