Background: To assess the feasibility of a novel intra-operative void scoring technique. To determine if intra-operative void score (VS) could act as a marker for post-operative success following TURP.

Methods: Fifteen patients undergoing TURP were included in this single-centre feasibility study. All patients had indwelling urinary catheters for recurrent retention due to benign prostatic hyperplasia (BPH). In theatre, immediately before- and after TURP, an intra-operative VS was measured and graded 0-5. Primary outcomes were the feasibility of measuring intra-operative VS and its accuracy in predicting surgical outcome.

Results: A combined pre- and post-score with a threshold ≥6 correctly predicted 82% of those who were catheter free (sensitivity) and 100% of those who were not catheter free (specificity) at follow up and the positive predictive value was 100% and negative predictive value 60%.

Conclusion: Intra-operative void score during TURP is simple, reproducible, fast and requires minimal resources. In TURP it may predict successful outcomes by identifying patients who will be catheter free post-operatively as opposed to those who will be catheter dependent despite the procedure.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9314725PMC
http://dx.doi.org/10.1111/ans.17664DOI Listing

Publication Analysis

Top Keywords

intra-operative void
16
void score
12
catheter free
12
feasibility study
8
will catheter
8
intra-operative
5
role intra-operative
4
void
4
score transurethral
4
transurethral resection
4

Similar Publications

[AQUABLATION OF THE PROSTATE - A NOVEL ROBOTIC PROCEDURE FOR THE TREATMENT OF BENIGN PROSTATIC HYPERPLASIA].

Harefuah

July 2024

Department of Urology, Chaim Sheba Medical Center, Tel Hashomer, Ramat-Gan, Israel, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Article Synopsis
  • Aquablation is a new robotic-assisted procedure using ultrasound and water jets to treat benign prostatic hyperplasia (BPH), aiming to assess its efficiency and safety.
  • A retrospective analysis of 50 patients revealed successful surgeries with no intra-operative complications, a median surgery time of 51 minutes, and minimal change in hemoglobin levels.
  • The procedure led to a significant improvement in urinary symptoms and quality of life, with most patients showing stable functional outcomes and none reporting significant urinary incontinence post-surgery.
View Article and Find Full Text PDF

Relationship between intra-operative urine output and postoperative acute kidney injury in paediatric cardiac surgery: A retrospective observational study.

Eur J Anaesthesiol

December 2024

From the Department of Anaesthesiology, Fuwai Hospital, National Centre for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China (DB, YL, HW, QL, DD, YJ, SY, JW, FY), and Medical Research and Biometrics Centre, National Clinical Research Centre for Cardiovascular Diseases, Fuwai Hospital, National Centre for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China (QL).

Article Synopsis
  • A study was conducted to determine the relationship between intra-operative urine output (UO) and the risk of acute kidney injury (AKI) in children with congenital heart disease undergoing cardiac surgery.
  • The research involved 1,184 children, revealing that 23.1% developed AKI post-surgery, with varying stages of severity.
  • The findings indicated no significant link between intra-operative UO and overall AKI, although there was a notable association between UO and moderate-to-severe AKI cases.
View Article and Find Full Text PDF

Calcium sulfate, an injectable and biodegradable bone-void filler, is widely used in orthopedic surgery. Based on clinical experience, bone-defect substitutes can also serve as vehicles for the delivery of drugs, for example, antibiotics, to prevent or to treat infections such as osteomyelitis. However, antibiotic additions change the characteristics of calcium sulfate cement.

View Article and Find Full Text PDF

Objective: To determine factors associated with failure of same-day trial of void (SDTOV) following holmium laser enucleation of the prostate (HoLEP).

Background: HoLEP is increasingly utilized for patients with benign prostatic hyperplasia. Advancements in technology have improved operative efficiency and hemostasis making same-day, catheter-free discharge possible.

View Article and Find Full Text PDF

Introduction: When performing a high tibial osteotomy (HTO) for genu varum deformity, it is not always easy to obtain the correct amount of overcorrection. The aims of this study were to review the results of a simple and reproducible method of correction that we have called "1 mm equals 1°". We have applied this technique to the medial opening wedge osteotomy.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!