Morales OO, Sánchez LD, Salazar VJA, Votto CLM, Viveros CC, Lugo GJA

Language: Spanish
References: 6
Page: 296-300
PDF size: 119.51 Kb.

ABSTRACT

Objective: To establish the safety of maintaining forced uresis with the application of a diuretic postoperatively after TURP surgery, without continuous bladder irrigation.
Method: TURP was performed in 30 patients, managing the postoperative period with forced uresis with diuretic and intravenous solutions without continuous bladder irrigation.
Results: The average age for patients was 69 years; the average of resected tissue was 17 grams, only one patient needed bladder irrigation due to obstruction of the Foley catheter due to a blood clot.
Conclusions: This study shows that it is possible to postoperatively manage patients subject to TURP without continuous bladder irrigation by maintaining a forced uresis at approximately 20 mL/min. This uresis is reached with an important oral fluid intake and the application of a loop diuretic while performing hemostasia. In this case furosemide 60 mg during hemostasia and 20 mg/12 hours postoperatively during their hospital stay.

REFERENCES

1. Stephen W Leslie, MD, FACS. Transurethral Resection of the Prostate. e-Medicine.com. January 31, 2005.

2. Reed M. Nesbit. Prostatectomia transuretral. Ed. Charles C. Thomas Publisher. Springfield U.S.A. 1946.

3. Laurence F, Joseph W. Transurethral Surgery. Ed. W. B. Saunders Company 1979.

4. Marquina M. Resección transuretral de la próstata sin irrigación postoperatoria. Rev Méx Urol. 1994; 54(4):81-83.

5. Mobb G, Ferrar J. Is planned continuous irrigation indicated for haemorrage following transurethral resecction of the prostate. Brit J Urol. 1993;71:707-710.

6. Berry A, Barratt A: Prophylactic antibiotic use in transurethral prostatic resection: a meta-analysis. J Urol. 2002;167(2 Pt 1):571-5.