Early Removal of the Urethral Catheter Following Trans-urethral Resection of Prostate

Study Overview
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Brief Summary
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Transurethral resection of prostate is the gold standard operation for bladder outflow obstruction due to benign prostatic enlargement. However, catheter removal day is variable. The objective of this study is to compare early and delayed catheter removal groups in terms of, urinary retention after catheter removal, length of hospital stay, weight of resected prostate, duration of resection, peri-operative blood transfusion, and postoperative complications.

Detailed Description
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This randomized controlled trial will carried out in Urology clinic at Jordan university hospital. Patients with benign prostate hyperplasia will be selected by simple random sampling technique after taking informed consent and will divided into two groups: Group A- early catheter removal group( catheter removed after 24 hours) and Group B-delayed catheter removal group ( catheter removed after 48 hours). in this study we will exclude patients with large post-void urine volume, simultaneous internal urethrotomy and transurethral resection of prostate, co-morbidity( diabetes mellitus, CVA) spinal cord injury, urethral stricture, prostate cancer proved by biopsy and intra-operative complications. Patients will discharged after removal of catheter if they voided successfully.

Official Title
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Early Versus Delayed Removal of the Urethral Catheter After Trans Urethral, Randomized Clinical Trial.

Conditions
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Urinary Retention

Intervention / Treatment
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* Other: removal of the urinary catheter


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: - All men with benign prostate hyperplasia who planned to undergo TURP will be included in this study. Exclusion Criteria: Large post void residual urine. Simultaneous internal urethrotomy and TURP. Uncontrolled Diabetes Mellitus (DM). Cerebrovascular accident accident (CVA). Spinal cord injury.

Ages Eligible for Study
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Minimum Age: 45 Years
Maximum Age: 90 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| group A- early catheter removal)<br>in group A, we will remove the catheter after 24 h. | Other: removal of the urinary catheter<br>* in group A, we will remove the catheter after 24 h. In group B, we will remove the catheter after 48 h.<br>|
| Group B- delayed catheter removal<br>In group B, we will remove the catheter after 48 h. | Other: removal of the urinary catheter<br>* in group A, we will remove the catheter after 24 h. In group B, we will remove the catheter after 48 h.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| urinary retention | inability to void | after 3 months. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Lower urinary tract symptoms | urinary symptoms after the procedure. | after 3 months. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Benign Prostate Hyperplasia, Urinary retention, Re-catheterization