{"title":"Effect of ERAS-Based Rapid Bladder Irrigation on TURP and HoLEP in the Treatment of Benign Prostatic Hyperplasia.","authors":"Shuhui An, Haoxuan Yang, Qingsong Meng","doi":"10.12669/pjms.41.3.9751","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To explore the positive effect of rapid bladder irrigation in postoperative BPH patients by collecting and analyzing the efficacy and complications of TURP and HoLEP treatments for patients with benign prostatic hyperplasia (BPH) under ERAS care.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on 197 BPH patients undergoing surgical treatment at the Second Hospital of Hebei Medical University from April 2022 to February 2024. All patients received rapid bladder irrigation under ERAS care, which involves flushing the bladder with a larger volume of saline solution in a shorter time postoperatively compared to conventional bladder irrigation care. Afterward, clinical data and postoperative irrigation indicators for each group were collected and analyzed.</p><p><strong>Results: </strong>Patients in the T1 group were observed with larger prostate volume, longer operation time, and more intraoperative blood loss than those in the T2 group, but with shorter duration of indwelling urinary catheters, shorter irrigation time, and shorter hospital stays (P<0.05). Meanwhile, the H1 group saw lower mean irrigation volume and shorter irrigation time than the H2 group. Differences were found between the T1 and H1 groups in terms of mean irrigation volume and irrigation time (P<0.05), Additionally, patients in the T2 group had lower prostate volume than those in the H2 group, with differences in mean irrigation volume and irrigation time (P<0.05).</p><p><strong>Conclusion: </strong>ERAS concept complements rapid bladder irrigation, which shortens the time to self-care recovery and discharge, thereby facilitating faster postoperative recovery for BPH patients.</p>","PeriodicalId":19958,"journal":{"name":"Pakistan Journal of Medical Sciences","volume":"41 3","pages":"693-698"},"PeriodicalIF":1.2000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11911731/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pakistan Journal of Medical Sciences","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.12669/pjms.41.3.9751","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
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Abstract
Objective: To explore the positive effect of rapid bladder irrigation in postoperative BPH patients by collecting and analyzing the efficacy and complications of TURP and HoLEP treatments for patients with benign prostatic hyperplasia (BPH) under ERAS care.
Methods: A retrospective analysis was conducted on 197 BPH patients undergoing surgical treatment at the Second Hospital of Hebei Medical University from April 2022 to February 2024. All patients received rapid bladder irrigation under ERAS care, which involves flushing the bladder with a larger volume of saline solution in a shorter time postoperatively compared to conventional bladder irrigation care. Afterward, clinical data and postoperative irrigation indicators for each group were collected and analyzed.
Results: Patients in the T1 group were observed with larger prostate volume, longer operation time, and more intraoperative blood loss than those in the T2 group, but with shorter duration of indwelling urinary catheters, shorter irrigation time, and shorter hospital stays (P<0.05). Meanwhile, the H1 group saw lower mean irrigation volume and shorter irrigation time than the H2 group. Differences were found between the T1 and H1 groups in terms of mean irrigation volume and irrigation time (P<0.05), Additionally, patients in the T2 group had lower prostate volume than those in the H2 group, with differences in mean irrigation volume and irrigation time (P<0.05).
Conclusion: ERAS concept complements rapid bladder irrigation, which shortens the time to self-care recovery and discharge, thereby facilitating faster postoperative recovery for BPH patients.
期刊介绍：
It is a peer reviewed medical journal published regularly since 1984. It was previously known as quarterly "SPECIALIST" till December 31st 1999. It publishes original research articles, review articles, current practices, short communications & case reports. It attracts manuscripts not only from within Pakistan but also from over fifty countries from abroad.
Copies of PJMS are sent to all the import medical libraries all over Pakistan and overseas particularly in South East Asia and Asia Pacific besides WHO EMRO Region countries. Eminent members of the medical profession at home and abroad regularly contribute their write-ups, manuscripts in our publications. We pursue an independent editorial policy, which allows an opportunity to the healthcare professionals to express their views without any fear or favour. That is why many opinion makers among the medical and pharmaceutical profession use this publication to communicate their viewpoint.
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