Effect of Prolonged Catheterization of the bladder on Men with Benign Prostatic Hyperplasia Prior to Prostatectomy

Abstract

Many men with BPH presenting with acute retention may be required to use an indwelling catheter for a period before definitive surgery. The aim of the study was to determine the effect of prolonged urethral catheterization on patients with BPH prior to prostatectomy. A total of 50 patients on indwelling urethral catheters following relief of acute retention due to symptomatic BPH were studied. A structured questionnaire was administered to the patients during hospital visits to assess complications of catheter use and its effect on the patient's personal activities. The age range of the respondents was between 56-82years with a mean of 69.9±7.4 years. The mean duration of catheterization was 11.8±7.5 weeks. The major reasons for prolonged catheter use were lack of theatre space (19/38%), lack of finance (15/30%) and presence of co-morbid conditions (10/20%). The common complications of indwelling catheterization included pain at the insertion of catheter (33/66%) and pericatheter leakage of urine (30/60%). The personal aspects of the patients commonly affected were the urge to have sex (31/62%), mode of dressing (29/58%), and ability to visit friends / relatives (25/50%). Prolonged catheterization in men awaiting prostatectomy is associated with complications and restrictions in routine personal activities. Thus measures aimed at shortening pre operative catheterization periods should be put in place for better outcome. 

Key words: prolonged, catheter, benign prostatic hyperplasia, complications