Surgical Treatment Options for Benign Prostatic Obstruction

Beyond Prostate Volume

Claudia Deyirmendjian; Dean Elterman; Bilal Chughtai; Kevin C. Zorn; Naeem Bhojani

Disclosures

Curr Opin Urol. 2022;32(1):102-108. 

In This Article

Catheterization Duration

After BPO surgery, a catheter is placed to drain urine and prostatic tissue. Reducing catheterization time decreases discomfort, nursing care during hospitalization, and risk of urinary tract infections.[53] Most postoperative catheterizations for TURP last between 3 and 4 days,[54] however, UroLift, PVP and laser enucleation offer quicker catheter removal.

In the LIFT study (n = 206), the mean catheter duration for UroLift patients was 0.9 days, and in the BPO6 study (n = 45), 45% of UroLift patients had a postoperative catheter for more than 24 h.[26,55] A study by Mattevi et al. analyzed 100 PVP patients compared to TURP, and catheterization time was significantly less in PVP (1.2 vs 3.1; P < 0.001).[56] A review of laser enucleation compared to TURP also demonstrated that in HoLEP, catheterization duration was consistently shorter in 4 randomized control trials.[57]

Notably, Rezūm involves consistently higher catheterization times. The main reason for longer catheterization relates to the development of inflammation and edema within the prostate.[48] A 2016 randomized control trial using Rezūm vs sham had 90.4% of Rezūm patients (n = 135) catheterized for a mean 3.4 ± 3.2 days.[19] In general, trial of void is scheduled 3–5 days post procedure but may extend up to 4 weeks.[20,48]

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