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TUR-P Sonrası Üretral Kateter Çekim Süresinin Operasyon Sonrası İşeme Parametreleri Üzerine Etkisi

Yıl 2016, Cilt: 6 Sayı: 2, 0 - 0, 24.06.2016

Öz

Amaç: Bu çalışmada Transüretral prostat rezeksiyonu (TURP) sonrası kateter çekim süresinin ameliyat başarısı üzerine etkisinin değerlendirilmesi amaçlanmıştır.

Yöntem: TUR-P yapılan hastalar, kateter çekim sürelerine göre 3 gün altı ile 3 günden fazla olmak üzere randomize olarak iki gruba ayrıldı. Her iki grupta bulunan hastaların yaş, preoperatif total PSA, Hb, Qmax, PVR, ameliyatta çıkarılan doku miktarı, post operatif Hb, Qmax, PVR değerleri kaydedildi. Preoperatif ve postoperatif Omax değerleri arasındaki değişim gruplar arasında hesaplandı. Parametrik veriler ortalama ± standat sapma, parametrik olmayan veriler min - maks olarak verildi. Grup verilerinin karşılaştırılmasında Mann Whitney U test kullanıldı.

Bulgular: Grup 1’de 37, grup 2’de 45 hasta vardı. Hastaların yaş ortalamaları grup 1’de 66.8 ± 5.0 yıl, grup 2’de 66.8 ± 8.4 yıl idi. Grupların PSA, Hb, Htc, Q maks, PVR, çıkan doku miktarları ve operasyon sonrası Q maks değişimleri Tablo 1’de özetlendi. Yaş, PSA, Hb, Htc, Qmaks, PVR verileri arasında guplar arasında anlamlı fark görülmedi. Operasyon sonrası Qmax değişimi (Post op Q maks- Preop Q maks) ve PVR verileri grup 2 de daha iyi görünmesine rağmen iki grup arasında istatistiksel olarak anlamlı bir fark görülmedi. Fakat kateter süresi uzun olan hastaların operasyonda çıkarılan doku miktarının istatistiksel olarak anlamlı daha yüksek olduğu dikkati çekti.

Sonuç: TUR-P operasyonlarında postoperatif Qmaks değişimi ve PVR göz önüne alındığında kateter çekim süresinin bu parametrelere anlamlı bir etkisinin olmadığı gözlemlendi. ( Sakarya Tıp Dergisi 2016, 6(2):56-59 )

Anahtar Kelimeler: Benign prostat hiperplazisi, Üretral kateter, Üroflowmetri

Kaynakça

  • Das Bhagia S, Mahmud SM, El Khalid S. Is it necessary to remove foleys catheter late after transurethral prostatectomy in patients who presented with acute urinary retention secondary to benign prostatic hyperplasia?... J Pak Med Assoc. 2010 Sep;60(9):739-41. 2. Gordon NS, Hadlow G, Knight E, Mohan P. Transurethral prostatectomy: still the gold standard. Aust NZ J Surg 1997; 67: 354-7. 3. Anderson JB, Grant JB. Postoperative retention urine: a prospective urodynamic study. BMJ 1991; 302: 894-6. 4. Mebust WK, Holtgrewe HL, Cockett AT, Peters PC. Transurethral prostatectomy: immediate and postoperative complications. A cooperative study of 13 participating institutions evaluating 3,885 patients J. Urol 1989;141: 243-7. 5. Radomski SB, Herschorm S, Naglie G. Acute urethral retention in men: a comparison of voiding and non-voiding patients after prostatectomy. J Urol 1995; 153: 685-8. 6. Chilton CP, Morgan RJ, England HR,Paris AMI, Blandy JP. A critical evaluation of the results of transurethral resection of the prostate. Br J Urol 1978; 50: 542-6. 7. Wyatt MG, Stower MJ, Smith PJ, Roberts JB. Prostatectomy in the over 80 year old. Br J Urol 1989; 64: 417-9. 8. Malone PR, Cook A, Edmondson R, Gill MW, Shearer RJ. Prostatectomy: patients' perceptions and long term followup. Br J Urol 1988; 61: 234-8. 9. Doll H, Black N, McPhesron KT, Flood AB, Williams GB, Smith JC. Mortality, morbidity and complications following transurethral resection of the prostate for benign prostatic hypertrophy. J Urol 1992; 147: 1566-73. 10. Thorpe AC, Cleary R, Coles J, Vernon S, Reynolds J, Neal DE. Deaths and complications following prostatectomy in the northern region of England, Northern Regional Prostate Audit Group. Br J Urol 1994; 74: 559-65. 11. Emberton M, Neal DE, Black N, Harrison M, Fordham M, McBrien MP, et al. The National Prostatectomy Audit: the clinical management of patients during hospital admission. Br J Urol 1995; 75: 301-16. 12. Emberton M, Neal DE, Black N, Fordham M, Harrison M, McBrien MP, et al. The effect of prostatectomy on symptom severity and quality of life. Br J Urol 1996; 77: 233-47. 13. Pickard R, Emberton M, Neal DE. The management of men with acute urinary retention. National Prostectomy Audit Steering Group. Br J Urol 1998; 81: 712-20. 14. Feldstein MS, Benson NA. Early catheter removal and reduced length of hospital stay following transurethral prostatectomy: a retrospective analysis of 100 consecutive patients. J Urol 1988; 140: 532-4. 15. Agarwal SK, Kumar AS. Early removal of catheter following transurethral resection of the prostate. Br J Urol 1993; 72: 928-9.
  • Mamo GJ, Cohen SP. Early catheter removal vs. conventional practice in patients undergoing transurethral resection of prostate. Urology 991; 37: 519-22. 17. McLoughlin MG, Kinahan TJ. Transurethral resection of the prostate in the outpatient setting. J Urol 1990; 143: 951-2. 18. Drago JR. Transurethral incision of prostate. Urology 1991; 38: 305-6. 19. Aslan G, Çelebi I, Arslan D, Esen AA. Early Catheter Removal following Transurethral Prostatectomy: Overnight Catheterization. Urol Int 2002;68:105–8. 20. Nakagawa T, Toguri AG. Early catheter removal following transurethral prostatectomy: A study of 431 patients. Med Princ Pract 2006;15:126–30. 21. Chalise PR, Agrawal CS, Pandit RK. Reduction of length of hospital stay after transurethral resection of prostate by early catheter removal: a retrospective analysis. Nepal Med Coll J 2007;9:84–7. 22. Kirollos MM. Length of postoperative hospital stay after transurethral resection of the prostate. Ann R Coll Surg Engl 1997;79:284–8. 23. Durrani SN, Khan S, Ur Rehman A. Transurethral resection of prostate: early versus delayed removal of catheter. J Ayub Med Coll Abbottabad. 2014;26:38-41.
Yıl 2016, Cilt: 6 Sayı: 2, 0 - 0, 24.06.2016

Öz

Kaynakça

  • Das Bhagia S, Mahmud SM, El Khalid S. Is it necessary to remove foleys catheter late after transurethral prostatectomy in patients who presented with acute urinary retention secondary to benign prostatic hyperplasia?... J Pak Med Assoc. 2010 Sep;60(9):739-41. 2. Gordon NS, Hadlow G, Knight E, Mohan P. Transurethral prostatectomy: still the gold standard. Aust NZ J Surg 1997; 67: 354-7. 3. Anderson JB, Grant JB. Postoperative retention urine: a prospective urodynamic study. BMJ 1991; 302: 894-6. 4. Mebust WK, Holtgrewe HL, Cockett AT, Peters PC. Transurethral prostatectomy: immediate and postoperative complications. A cooperative study of 13 participating institutions evaluating 3,885 patients J. Urol 1989;141: 243-7. 5. Radomski SB, Herschorm S, Naglie G. Acute urethral retention in men: a comparison of voiding and non-voiding patients after prostatectomy. J Urol 1995; 153: 685-8. 6. Chilton CP, Morgan RJ, England HR,Paris AMI, Blandy JP. A critical evaluation of the results of transurethral resection of the prostate. Br J Urol 1978; 50: 542-6. 7. Wyatt MG, Stower MJ, Smith PJ, Roberts JB. Prostatectomy in the over 80 year old. Br J Urol 1989; 64: 417-9. 8. Malone PR, Cook A, Edmondson R, Gill MW, Shearer RJ. Prostatectomy: patients' perceptions and long term followup. Br J Urol 1988; 61: 234-8. 9. Doll H, Black N, McPhesron KT, Flood AB, Williams GB, Smith JC. Mortality, morbidity and complications following transurethral resection of the prostate for benign prostatic hypertrophy. J Urol 1992; 147: 1566-73. 10. Thorpe AC, Cleary R, Coles J, Vernon S, Reynolds J, Neal DE. Deaths and complications following prostatectomy in the northern region of England, Northern Regional Prostate Audit Group. Br J Urol 1994; 74: 559-65. 11. Emberton M, Neal DE, Black N, Harrison M, Fordham M, McBrien MP, et al. The National Prostatectomy Audit: the clinical management of patients during hospital admission. Br J Urol 1995; 75: 301-16. 12. Emberton M, Neal DE, Black N, Fordham M, Harrison M, McBrien MP, et al. The effect of prostatectomy on symptom severity and quality of life. Br J Urol 1996; 77: 233-47. 13. Pickard R, Emberton M, Neal DE. The management of men with acute urinary retention. National Prostectomy Audit Steering Group. Br J Urol 1998; 81: 712-20. 14. Feldstein MS, Benson NA. Early catheter removal and reduced length of hospital stay following transurethral prostatectomy: a retrospective analysis of 100 consecutive patients. J Urol 1988; 140: 532-4. 15. Agarwal SK, Kumar AS. Early removal of catheter following transurethral resection of the prostate. Br J Urol 1993; 72: 928-9.
  • Mamo GJ, Cohen SP. Early catheter removal vs. conventional practice in patients undergoing transurethral resection of prostate. Urology 991; 37: 519-22. 17. McLoughlin MG, Kinahan TJ. Transurethral resection of the prostate in the outpatient setting. J Urol 1990; 143: 951-2. 18. Drago JR. Transurethral incision of prostate. Urology 1991; 38: 305-6. 19. Aslan G, Çelebi I, Arslan D, Esen AA. Early Catheter Removal following Transurethral Prostatectomy: Overnight Catheterization. Urol Int 2002;68:105–8. 20. Nakagawa T, Toguri AG. Early catheter removal following transurethral prostatectomy: A study of 431 patients. Med Princ Pract 2006;15:126–30. 21. Chalise PR, Agrawal CS, Pandit RK. Reduction of length of hospital stay after transurethral resection of prostate by early catheter removal: a retrospective analysis. Nepal Med Coll J 2007;9:84–7. 22. Kirollos MM. Length of postoperative hospital stay after transurethral resection of the prostate. Ann R Coll Surg Engl 1997;79:284–8. 23. Durrani SN, Khan S, Ur Rehman A. Transurethral resection of prostate: early versus delayed removal of catheter. J Ayub Med Coll Abbottabad. 2014;26:38-41.
Toplam 2 adet kaynakça vardır.

Ayrıntılar

Bölüm Makaleler
Yazarlar

Fikret Halis Bu kişi benim

Hacı İbrahim Çimen Bu kişi benim

Ahmet Gökçe Bu kişi benim

Yayımlanma Tarihi 24 Haziran 2016
Gönderilme Tarihi 24 Haziran 2016
Yayımlandığı Sayı Yıl 2016 Cilt: 6 Sayı: 2

Kaynak Göster

AMA Halis F, Çimen Hİ, Gökçe A. TUR-P Sonrası Üretral Kateter Çekim Süresinin Operasyon Sonrası İşeme Parametreleri Üzerine Etkisi. Sakarya Tıp Dergisi. Haziran 2016;6(2).

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