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. Most postoperative catheterizations for TURP last between 3 and 4 days, 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). A review of laser enucleation compared to TURP also demonstrated that in HoLEP, catheterization duration was consistently shorter in 4 randomized control trials.
Notably, Rezūm involves consistently higher catheterization times. The main reason for longer catheterization relates to the development of inflammation and edema within the prostate. 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. In general, trial of void is scheduled 3–5 days post procedure but may extend up to 4 weeks.[20,48]
Curr Opin Urol. 2022;32(1):102-108. © 2022 Wolters Kluwer Health, Inc.