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Irrigation or No Irrigation after Transurethral Prostatectomy?
Author(s) -
BRITTON J. P.,
FLETCHER M. S.,
HARRISON N. W.,
ROYLE M. G.
Publication year - 1992
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/bju.1992.70.5.526
Subject(s) - irrigation , prostatectomy , urology , medicine , environmental science , water resource management , prostate , agronomy , biology , cancer
Summary Urologists remain divided as to the need for routine irrigation following transurethral prostatectomy (TURP). This randomised prospective study compared a policy of irrigation with that of no irrigation in a consecutive group of 200 patients undergoing TURP. In the irrigation group, a mean of 15 litres of irrigating fluid was used in each patient and one‐third of patients required at least one bladder washout. In the no irrigation group, although two‐thirds of the patients required at least one bladder washout, only one‐third required more than one washout. No significant difference in blood loss, electrolyte balance, infection rate or recovery was seen in the 2 groups. This study led to a local change in practice, converting from a policy of routine irrigation to one of no irrigation.