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Abstract

Objective:

The objective of this article is to investigate the safety and efficacy of both monopolar and bipolar transurethral resection of the prostate (TURP) performed on a day-case basis.

Materials and methods:

Data were collected prospectively for two cohorts of consecutive patients undergoing a day-case monopolar TURP (mTURP) by surgeon 1 in centre 1 (Group M) and a day case bipolar TURP (bTURP) by surgeon 2 in centre 2 (Group B). All were scheduled to be discharged on the day of surgery, with an indwelling catheter to be removed on an outpatient basis.

Results:

Fifty men underwent a day-case mTURP (Group M) and 27 men underwent a day-case bTURP (Group B) in centre 1 and 2, respectively. Patient age (p = 0.71) and resection weight (p = 0.35) were comparable between the two groups. No statistically significant difference in the number of admissions (p = 1.00) or re-admissions (p = 0.55) between the two groups was observed, with an identical day case discharge rate of 92%.

Conclusions:

Day-case TURP can be provided safely and effectively to patients regardless of the diathermy method employed, with successful discharge rates and low risk of admission or re-admission.

Keywords

Transurethral resection of the prostate prostatectomy day-case surgery ambulatory surgery catheter

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Day-case monopolar and bipolar transurethral resection of the prostate