To evaluate the impact of rectal balloon (RB) inflation on post-transurethral resection of the prostate (TURP) bleeding in patients with symptomatic benign prostatic hyperplasia (BPH).
After institutional review board approval, patients who were eligible for TURP were randomized into 2 equal groups, depending on whether they received postoperative endorectal balloon (RB) (GII) or not (GI).
The tip of 3-way Foley catheter was fixed to a balloon by a blaster strip to prepare air-tight RB. Postoperatively, the RB was inflated for 15-minutes by a pressure-controlled sphygmomanometer. Perioperative data were compared between both groups, including hemoglobin (Hb) deficit 24-hour postoperatively and at time of discharge. Functional outcomes, anorectal complaints and adverse events were assessed perioperatively and after one and 3-months.
Fifty patients were enrolled, including 13 (26%) patients who presented with indwelling urethral catheters. Baseline data and mean resected tissue weight were comparable between both groups, including preoperative hemoglobin (Hb) (p=0. 17). Immediate postoperative Hb deficit was respectively comparable between GI and GII patients (0. 58±0. 18 vs. 0. 60±0. 2, p=0. 56) before RB inflation. However, mean Hb deficit significantly decreased in GII patients 24-hour postoperatively (0. 2±0. 2 vs. 0. 7±0. 3g, p=0. 002) and at time of discharge (0. 8±0. 2 vs. 1. 3±0. 4g, p=0. 003). GII Patients needed significantly less postoperative irrigation (2. 1±1. 6 vs. 8. 3±1. 8 L, p
Post-TURP endorectal balloon inflation seems to be simple, safe and efficient procedure to reduce post-operative bleeding and irrigation volume. It is significantly associated with shorter catheterization time and hospital stay.
Journal of endourology / Endourological Society. 2015 Sep 28 [Epub ahead of print]
Khaled Mohyelden, Hamdy Ibrahim, Osman Abdel Kader, Mahmoud H Sherief, Ahmed Elnashar, Hossam Shaker, Mohamed Aly Elkoushy
Fayoum Faculty of Medicine, UROLOGY , 1st Elmarraghy St. , Agoza Giza, Egypt , Fayoum, Egypt , 11511 , +20 1001433045 ; Fayoum Faculty of Medicine, Urology, Fayoum , Egypt ; SUez Canal University, Urology, Ismailia, Egypt ; Suez Canal University, Urology, Ismailia, Egypt ; SUez Canal University, Urology, Ismailia, Egypt ; Fayoum Faculty of Medicine, Urology, Fayoum , Egypt ; McGill University Health centre, Urology , 687 Pine Ave West, Suite S6. 92 , Montreal, Quebec, Canada