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학술저널
저자정보
송상헌 (분당서울대학교병원) 김진혁(Kim Jin Hyuck) (분당서울대학교병원 비뇨의학과) 김정권 (분당서울대학교병원) 오종진 (서울대학교) 이상철 (분당서울대학교병원) 정성진 (분당서울대학교병원) 변석수 (서울대학교) 홍성규 (서울대학교) 이학민 (분당서울대학교병원)
저널정보
대한비뇨기과학회 Investigative and Clinical Urology Investigative and Clinical Urology Vol.63 No.6
발행연도
2022.11
수록면
656 - 662 (7page)
DOI
https://doi.org/10.4111/icu.20220233

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Purpose: To evaluate possible benefits and clinical feasibility of retrograde bladder filling method prior to intra-vesical catheter removal after transurethral prostatectomy (TURP) for benign prostatic hyperplasia (BPH).Materials and Methods: Male patients undergoing TURP for BPH from January 2019 to October 2019 were randomized in a 1:1 ratio into either retrograde filling (RF) or spontaneous voiding (SV) methods at a single institution to determine safety and efficacy of RF (NCT04309032), with surgeons blinded to allocation. Perioperative outcomes including postoperative complications were compared between two groups. Clinician/patients’ satisfaction level which was evaluated with postoperative questionnaires were also compared.Results: A total of 56 patients were randomized into two groups and 56 were included in final analysis (28 men in RF group, 26 in SV group). No significant differences in baseline characteristics including age, prostate volume, or perioperative uroflowmetry were observed. However, RF significantly facilitated time to void (67.0±63.2 vs. 144.0±78.7 min; p<0.001) and time to discharge (168.4±57.2 vs. 218.9±106.9 min; p=0.046). Immediate postoperative complications were comparable in both methods with no significant difference. Overall patient and medical staff satisfaction showed tolerable and similar response by either procedure.Conclusions: RF method for intra-vesical catheter removal is a safe and satisfactory method that can facilitate early voiding detection and shorten the time to discharge. Further trials are required to further validate our results.

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