Post-TURP training reduces dysfunctional voiding

  • Büyükyilmaz F & al.
  • J Clin Nurs
  • 4 Jun 2019

  • International Clinical Digest
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Takeaway

  • Bladder training helps catheterized patients regain normal voiding function after transurethral resection of the prostate (TURP).

Why this matters

  • Postoperative urinary catheterization can lead to a wide range of complications such as urinary tract infections, acute urinary retention, urinary incontinence, and repeated hospitalization.

Study design

  • Researchers studied patients assigned either to a bladder training or control group, both catheterized for 3 days after TURP (n=50; mean age, 65.92±9.46 years; mean PSA level, 1.73±0.68 ng/mL; mean International Prostate Symptom Score, 22.86±2.43; mean prostate volume, 57.22±23.58 mL).
  • Starting on the second postoperative day, they clamped training group catheters, opening them for 5 minutes every 4 hours or any time patients reported a sense of urgency.
  • Funding: None.

Key results

  • After catheter removal, training group patients had longer times to first urgency and longer first voiding times (P=.001).
  • Patients in the training group reported lower daily frequencies of micturition and nocturia (P=.04), more time between micturition (P=.006), and higher mean voided urinary volume (P=.024).

Limitations

  • Long-term results are not available; some patient data were self-reported.