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
Hauptverfasser: Saeed, Aniqa, Aziz, Wajahat, Basit, Sana, Bari, Iman, Ather, M. Hammad
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container_issue 12
container_start_page 3759
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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
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Hammad</creator><creatorcontrib>Saeed, Aniqa ; Aziz, Wajahat ; Basit, Sana ; Bari, Iman ; Ather, M. Hammad</creatorcontrib><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 &lt; 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 &amp; 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. 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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. 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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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