Voiding efficiency: a predictor of failed trial off catheter after transurethral resection of prostate
Purpose Following transurethral resection of the prostate (TURP), there is no clear recommendation for the catheter duration, and objective criteria are needed to determine appropriate time for trial off catheter. Current study is aimed to identify the high-risk patients for failed trial off cathete...
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Veröffentlicht in: | International urology and nephrology 2024-12, Vol.56 (12), p.3759-3764 |
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creator | Saeed, Aniqa Aziz, Wajahat Basit, Sana Bari, Iman Ather, M. Hammad |
description | Purpose
Following transurethral resection of the prostate (TURP), there is no clear recommendation for the catheter duration, and objective criteria are needed to determine appropriate time for trial off catheter. Current study is aimed to identify the high-risk patients for failed trial off catheter and the association with preoperative voiding efficiency with postoperative failed trial without catheter.
Methodology
This is cross-sectional single institutional study. All eligible patients who underwent TURP were followed preoperatively for symptoms and workup, including voiding efficiency based on ultrasound findings, intraoperatively for resection parameters, and postoperatively for a trial off a catheter. All the findings were documented, and the data were analyzed on SPSS(TM) 22. Demographic variables were calculated in the form of frequency and percentages. The association of voiding efficiency with failed trials off catheters was checked through Chi-square and binary logistic regression analysis.
Results
132 patients were included in the study. The mean voiding efficiency was 57.5%. Based on voiding efficiency cut off, of 50%, patients were divided into two groups. The association between voiding efficiency and failed trials off catheters was not found to be statistically significant, with a
p
value of 0.79. Only prevoid volume, postvoid volume, duration of symptoms, and upper tract damage were found to be statistically significant predictors of failed trial off catheter, with a
p
value of |
doi_str_mv | 10.1007/s11255-024-04128-z |
format | Article |
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Following transurethral resection of the prostate (TURP), there is no clear recommendation for the catheter duration, and objective criteria are needed to determine appropriate time for trial off catheter. Current study is aimed to identify the high-risk patients for failed trial off catheter and the association with preoperative voiding efficiency with postoperative failed trial without catheter.
Methodology
This is cross-sectional single institutional study. All eligible patients who underwent TURP were followed preoperatively for symptoms and workup, including voiding efficiency based on ultrasound findings, intraoperatively for resection parameters, and postoperatively for a trial off a catheter. All the findings were documented, and the data were analyzed on SPSS(TM) 22. Demographic variables were calculated in the form of frequency and percentages. The association of voiding efficiency with failed trials off catheters was checked through Chi-square and binary logistic regression analysis.
Results
132 patients were included in the study. The mean voiding efficiency was 57.5%. Based on voiding efficiency cut off, of 50%, patients were divided into two groups. The association between voiding efficiency and failed trials off catheters was not found to be statistically significant, with a
p
value of 0.79. Only prevoid volume, postvoid volume, duration of symptoms, and upper tract damage were found to be statistically significant predictors of failed trial off catheter, with a
p
value of < 0.05.</description><identifier>ISSN: 1573-2584</identifier><identifier>ISSN: 0301-1623</identifier><identifier>EISSN: 1573-2584</identifier><identifier>DOI: 10.1007/s11255-024-04128-z</identifier><identifier>PMID: 38935322</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Aged ; Catheters ; Clinical trials ; Cross-Sectional Studies ; Efficiency ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Nephrology ; Postoperative Complications ; Prostate ; Prostatic Hyperplasia - surgery ; Risk groups ; Statistical analysis ; Transurethral Resection of Prostate ; Urinary Catheterization ; Urinary Catheters ; Urination ; Urology ; Urology – Original Paper</subject><ispartof>International urology and nephrology, 2024-12, Vol.56 (12), p.3759-3764</ispartof><rights>The Author(s), under exclusive licence to Springer Nature B.V. 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer Nature B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c256t-a76c750868f2fb124eee28e2a27d8cf17e9dcfab2599794fe7016a7f93268a873</cites><orcidid>0009-0007-0121-5926</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11255-024-04128-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11255-024-04128-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,778,782,27907,27908,41471,42540,51302</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38935322$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Saeed, Aniqa</creatorcontrib><creatorcontrib>Aziz, Wajahat</creatorcontrib><creatorcontrib>Basit, Sana</creatorcontrib><creatorcontrib>Bari, Iman</creatorcontrib><creatorcontrib>Ather, M. Hammad</creatorcontrib><title>Voiding efficiency: a predictor of failed trial off catheter after transurethral resection of prostate</title><title>International urology and nephrology</title><addtitle>Int Urol Nephrol</addtitle><addtitle>Int Urol Nephrol</addtitle><description>Purpose
Following transurethral resection of the prostate (TURP), there is no clear recommendation for the catheter duration, and objective criteria are needed to determine appropriate time for trial off catheter. Current study is aimed to identify the high-risk patients for failed trial off catheter and the association with preoperative voiding efficiency with postoperative failed trial without catheter.
Methodology
This is cross-sectional single institutional study. All eligible patients who underwent TURP were followed preoperatively for symptoms and workup, including voiding efficiency based on ultrasound findings, intraoperatively for resection parameters, and postoperatively for a trial off a catheter. All the findings were documented, and the data were analyzed on SPSS(TM) 22. Demographic variables were calculated in the form of frequency and percentages. The association of voiding efficiency with failed trials off catheters was checked through Chi-square and binary logistic regression analysis.
Results
132 patients were included in the study. The mean voiding efficiency was 57.5%. Based on voiding efficiency cut off, of 50%, patients were divided into two groups. The association between voiding efficiency and failed trials off catheters was not found to be statistically significant, with a
p
value of 0.79. Only prevoid volume, postvoid volume, duration of symptoms, and upper tract damage were found to be statistically significant predictors of failed trial off catheter, with a
p
value of < 0.05.</description><subject>Aged</subject><subject>Catheters</subject><subject>Clinical trials</subject><subject>Cross-Sectional Studies</subject><subject>Efficiency</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nephrology</subject><subject>Postoperative Complications</subject><subject>Prostate</subject><subject>Prostatic Hyperplasia - surgery</subject><subject>Risk groups</subject><subject>Statistical analysis</subject><subject>Transurethral Resection of Prostate</subject><subject>Urinary Catheterization</subject><subject>Urinary Catheters</subject><subject>Urination</subject><subject>Urology</subject><subject>Urology – Original Paper</subject><issn>1573-2584</issn><issn>0301-1623</issn><issn>1573-2584</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUtPxCAUhYnR-Bj9Ay5MEzduqnAphbozxldi4kbdEoZeFNNpR6AL_fUyM77iwg2P3O-cy-UQss_oMaNUnkTGQIiSQlXSioEq39fINhOSlyBUtf7rvEV2YnyhlDaK0k2yxVXDBQfYJu5x8K3vnwp0zluPvX07LUwxD9h6m4ZQDK5wxnfYFil40-W7K6xJz5gwFMYt1hRMH8eA6TlkIGBEm_zQL6TzMMRkEu6SDWe6iHuf-4Q8XF7cn1-Xt3dXN-dnt6UFUafSyNpKQVWtHLgpgwoRQSEYkK2yjklsWuvMFETTyKZyKCmrjXQNh1oZJfmEHK18c-PXEWPSMx8tdp3pcRij5lSCYjVbood_0JdhDH1-neYMeFPVQtBMwYqyeZIY0Ol58DMT3jSjepGCXqWgcwp6mYJ-z6KDT-txOsP2W_L17RngKyDmUv-E4af3P7Yf2OmTtQ</recordid><startdate>20241201</startdate><enddate>20241201</enddate><creator>Saeed, Aniqa</creator><creator>Aziz, Wajahat</creator><creator>Basit, Sana</creator><creator>Bari, Iman</creator><creator>Ather, M. Hammad</creator><general>Springer Netherlands</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0009-0007-0121-5926</orcidid></search><sort><creationdate>20241201</creationdate><title>Voiding efficiency: a predictor of failed trial off catheter after transurethral resection of prostate</title><author>Saeed, Aniqa ; Aziz, Wajahat ; Basit, Sana ; Bari, Iman ; Ather, M. Hammad</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c256t-a76c750868f2fb124eee28e2a27d8cf17e9dcfab2599794fe7016a7f93268a873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged</topic><topic>Catheters</topic><topic>Clinical trials</topic><topic>Cross-Sectional Studies</topic><topic>Efficiency</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nephrology</topic><topic>Postoperative Complications</topic><topic>Prostate</topic><topic>Prostatic Hyperplasia - surgery</topic><topic>Risk groups</topic><topic>Statistical analysis</topic><topic>Transurethral Resection of Prostate</topic><topic>Urinary Catheterization</topic><topic>Urinary Catheters</topic><topic>Urination</topic><topic>Urology</topic><topic>Urology – Original Paper</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Saeed, Aniqa</creatorcontrib><creatorcontrib>Aziz, Wajahat</creatorcontrib><creatorcontrib>Basit, Sana</creatorcontrib><creatorcontrib>Bari, Iman</creatorcontrib><creatorcontrib>Ather, M. Hammad</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>International urology and nephrology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Saeed, Aniqa</au><au>Aziz, Wajahat</au><au>Basit, Sana</au><au>Bari, Iman</au><au>Ather, M. Hammad</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Voiding efficiency: a predictor of failed trial off catheter after transurethral resection of prostate</atitle><jtitle>International urology and nephrology</jtitle><stitle>Int Urol Nephrol</stitle><addtitle>Int Urol Nephrol</addtitle><date>2024-12-01</date><risdate>2024</risdate><volume>56</volume><issue>12</issue><spage>3759</spage><epage>3764</epage><pages>3759-3764</pages><issn>1573-2584</issn><issn>0301-1623</issn><eissn>1573-2584</eissn><abstract>Purpose
Following transurethral resection of the prostate (TURP), there is no clear recommendation for the catheter duration, and objective criteria are needed to determine appropriate time for trial off catheter. Current study is aimed to identify the high-risk patients for failed trial off catheter and the association with preoperative voiding efficiency with postoperative failed trial without catheter.
Methodology
This is cross-sectional single institutional study. All eligible patients who underwent TURP were followed preoperatively for symptoms and workup, including voiding efficiency based on ultrasound findings, intraoperatively for resection parameters, and postoperatively for a trial off a catheter. All the findings were documented, and the data were analyzed on SPSS(TM) 22. Demographic variables were calculated in the form of frequency and percentages. The association of voiding efficiency with failed trials off catheters was checked through Chi-square and binary logistic regression analysis.
Results
132 patients were included in the study. The mean voiding efficiency was 57.5%. Based on voiding efficiency cut off, of 50%, patients were divided into two groups. The association between voiding efficiency and failed trials off catheters was not found to be statistically significant, with a
p
value of 0.79. Only prevoid volume, postvoid volume, duration of symptoms, and upper tract damage were found to be statistically significant predictors of failed trial off catheter, with a
p
value of < 0.05.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>38935322</pmid><doi>10.1007/s11255-024-04128-z</doi><tpages>6</tpages><orcidid>https://orcid.org/0009-0007-0121-5926</orcidid></addata></record> |
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subjects | Aged Catheters Clinical trials Cross-Sectional Studies Efficiency Humans Male Medicine Medicine & Public Health Middle Aged Nephrology Postoperative Complications Prostate Prostatic Hyperplasia - surgery Risk groups Statistical analysis Transurethral Resection of Prostate Urinary Catheterization Urinary Catheters Urination Urology Urology – Original Paper |
title | Voiding efficiency: a predictor of failed trial off catheter after transurethral resection of prostate |
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