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Risk Factors for Failure of Early Catheter Removal After Greenlight HPS Laser Photoselective Vaporization Prostatectomy in Men With Benign Prostatic Hyperplasia
Article de En | WPRIM | ID: wpr-65099
Bibliothèque responsable: WPRO
ABSTRACT
PURPOSE: To assess the risk factors for developing urinary retention after removal of the urethral catheter on postoperative day 1 in benign prostatic hyperplasia patients who underwent Greenlight HPS laser photoselective vaporization prostatectomy (PVP). MATERIALS AND METHODS: The study included 427 men who underwent Greenlight HPS laser PVP between 2009 and 2012, excluding patients in whom a catheter was maintained for more than 1 day because of urethral procedures. In all patients, a voiding trial was performed on postoperative day 1; if patients were unable to urinate, the urethral catheter was replaced before hospital discharge. The patients were divided into two groups: early catheter removal (postoperative day 1) and late catheter removal (urethral catheter reinsertion). Preoperative and perioperative parameters were compared between the groups. RESULTS: Catheters were successfully removed in 378 (88.6%) patients on postoperative day 1. In 49 patients, the catheters were reinserted and removed a mean of 6.45+/-0.39 days after surgery. In a multivariate analysis, a history of diabetes was the most significant predictor (p=0.028) of failure of early catheter removal, followed by operative time (p=0.039). There were no significant differences in age, prostate volume, International Prostate Symptom Score, or urodynamic parameters between the two groups. CONCLUSIONS: It is feasible, safe, and cost-effective to remove the urethral catheter on postoperative day 1 after Greenlight HPS laser PVP, but the procedure should be done carefully in patients who have history of diabetes or an extended operative time.
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Texte intégral: 1 Indice: WPRIM Sujet Principal: Prostate / Prostatectomie / Hyperplasie de la prostate / Urodynamique / Volatilisation / Cathétérisme urinaire / Analyse multifactorielle / Facteurs de risque / Rétention d'urine / Thérapie laser Type d'étude: Etiology_studies / Prognostic_studies / Risk_factors_studies Limites du sujet: Humans / Male langue: En Texte intégral: Korean Journal of Urology Année: 2013 Type: Article
Texte intégral: 1 Indice: WPRIM Sujet Principal: Prostate / Prostatectomie / Hyperplasie de la prostate / Urodynamique / Volatilisation / Cathétérisme urinaire / Analyse multifactorielle / Facteurs de risque / Rétention d'urine / Thérapie laser Type d'étude: Etiology_studies / Prognostic_studies / Risk_factors_studies Limites du sujet: Humans / Male langue: En Texte intégral: Korean Journal of Urology Année: 2013 Type: Article