PTU - Polskie Towarzystwo Urologiczne
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CODE: 6.4 - Postoperative course after surgical treatment of BPH in men with complete urinary retention
Article published in Urologia Polska 2006/59/Suplement 1.


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.