Risk Factors for Failure of Early Catheter Removal After Greenlight HPS Laser Photoselective Vaporization Prostatectomy in Men With Benign Prostatic Hyperplasia
배웅진, Ahn Sun-Gook, 방준호, 배장호, 최용선, 김수진, 조혁진, 홍성후, 이지열, 황태곤, 김세웅,
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배웅진 ( Bae Woong-Jin )
Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Urology
( Ahn Sun-Gook )
Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Urology
방준호 ( Bang Jun-Ho )
Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Urology
배장호 ( Bae Jang-Ho )
Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Urology
최용선 ( Choi Yong-Sun )
Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Urology
김수진 ( Kim Su-Jin )
Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Urology
조혁진 ( Cho Hyuk-Jin )
Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Urology
홍성후 ( Hong Sung-Hoo )
Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Urology
이지열 ( Lee Ji-Youl )
Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Urology
황태곤 ( Hwang Tae-Kon )
Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Urology
김세웅 ( Kim Sae-Woong )
Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Urology
KMID : 0358320130540010031
Abstract
Purpose: To assess the risk factors for developing urinary retention after removal of the urethral catheter on postoperative day 1 in benign prostatic hyperplasia patients who underwent Greenlight HPS laser photoselective vaporization prostatectomy (PVP).
Materials and Methods: The study included 427 men who underwent Greenlight HPS laser PVP between 2009 and 2012, excluding patients in whom a catheter was maintained for more than 1 day because of urethral procedures. In all patients, a voiding trial was performed on postoperative day 1; if patients were unable to urinate, the urethral catheter was replaced before hospital discharge. The patients were divided into two groups: early catheter removal (postoperative day 1) and late catheter removal (urethral catheter reinsertion). Preoperative and perioperative parameters were compared between the groups.
Results: Catheters were successfully removed in 378 (88.6%) patients on postoperative day 1. In 49 patients, the catheters were reinserted and removed a mean of 6.45±0.39 days after surgery. In a multivariate analysis, a history of diabetes was the most significant predictor (p=0.028) of failure of early catheter removal, followed by operative time (p=0.039). There were no significant differences in age, prostate volume, International Prostate Symptom Score, or urodynamic parameters between the two groups.
Conclusions: It is feasible, safe, and cost-effective to remove the urethral catheter on postoperative day 1 after Greenlight HPS laser PVP, but the procedure should be done carefully in patients who have history of diabetes or an extended operative time.
키워드
Laser therapy;Prostatic hyperplasia;Urethral catheterization
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