Ewa Bres-Niewada, Bartosz Dybowski, Piotr Kryst, Andrzej Borkowski
- Katedra i Klinika Urologii AM w Warszawie
- Introduction. In men admitted to urological ward with indwelling catheters because of benign prostatic hyperplasia (BPH) almost always (70- 84%) significant bacteriuria is present. This may increase the risk of postoperative complications and prolong the stay in the hospital.
- Objectives. To compare the incidence of postoperative complications in men with BPH admitted with indwelling catheters and in men without catheters.
- Materials and methods. Retrospectively the incidence of operative wound infections, fever, urosepsis and genitourinary tract infections was assessed in a consecutive group of 103 men treated surgically (transurethral resection of prostate-TURP, and retropubic prostatectomy m. Millin) for BPH. Patients were divided into four groups: group 1 - with catheter, TURP (n - 15); group 2 - without catheter, TURP (n - 33); group 3 - with catheter, open surgery (n - 27); group 4 - without catheter, open surgery (n - 28).
- Results. Mean age of men with and without indwelling catheter at admission was the same - 72 years (range 55 - 89). Patients were using catheters for 5 months on average. Significant bactriuria was found in 37 men. In all infected patients antibiotic therapy was started before the surgery. Postoperative complications were noticed in 25 patients: fever ³ 38oC - 16; wound infection - 9, persistent urinary tract infection - 2; epididymitis - 1. No case of urosepsis has occurred. Distribution of data in the groups is shown in the table beneath:
- Conclusions. Indwelling catheterisation before surgical treatment of BPH and coexistent urinary infection seems to increase the risk of postoperative complications but does not prolong hospitalization.