None listed
Conditions
Brief summary
Male patients with indwelling urinary catheters proceeding for TURP will be included. Indications must be for outlet obstruction secondary to BPH or prostate cancer. During the procedure for TURP the urologist will fill the bladder, then place manual pressure on the abdomen to void the fluid. The voided fluid will have its flow graded on a preset scale before and after prostate resection. Patients will be followed up at six weeks to monitor complications and measure patient satisfaction with the operation. This intraoperative flow measurement technique may be useful to determine if some patients will have unsuccessful TURP procedures and may instead require suprapubic catheters.
Interventions
Before and after the resection of the prostate, the bladder will be filled with fluid as per the standard technique for TURP I.e a rigid cystoscope inserted into the bladder via the urethra and irrigation glycine fluid will fill the bladder to a set measurement of 500ml. The scope will then be removed and pressure applied to the abdomen by the surgeons hand to expel the fluid. The pressure is up to the discretion of the single operator. The voided fluid will then be graded on its flow by the sur
Before and after the resection of the prostate, the bladder will be filled with fluid as per the standard technique for TURP I.e a rigid cystoscope inserted into the bladder via the urethra and irrigation glycine fluid will fill the bladder to a set measurement of 500ml. The scope will then be removed and pressure applied to the abdomen by the surgeons hand to expel the fluid. The pressure is up to the discretion of the single operator. The voided fluid will then be graded on its flow by the surgeon and study assessor to get a unanimously agreed upon score on the standardised scale.
Sponsors
Southern DHB
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
Male
Age
40 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Males proceeding to TURP secondary to BPH/prostate cancer who have indwelling urinary catheter for outlet obstruction
Exclusion criteria
Those for TURP without catheters, bladder neck obstructions, obstructions caused by structures other than the prostate, procedures not under general anesthetic
Outcome results
None listed