Comparison of the Effect of Transurethral and Suprapubic Catheterization on Transurethral Prostatectomy Results in Patients With Acute Urinary Retention Secondary to Benign Prostatic Hyperplasia

Abstract

Background: We aimed to evaluate the impact of different catheterization methods on transurethral resection of the prostate outcomes in patients with benign prostatic hyperplasia related acute urinary retention.

Materials and Methods: Between 2019 and 2023, a retrospective examination was conducted on patients experiencing acute urinary retention secondary to benign prostatic hyperplasia. The study encompassed 89 patients who underwent transurethral resection of the prostate. The patients' demographic data, preoperative uroflowmetry results, pathology reports and the data obtained during their follow-up up to the 12th month were recorded. The patients' data were divided into two groups based on catheterization status: percutaneous cystostomy and Foley catheter, and compared.

Results: The study included 76 patients with a transurethral Foley catheter and 13 with a percutaneous suprapubic cystostomy. No significant differences were observed in preoperative parameters or postoperative complications and pathology results between the groups. Uroflowmetry showed a significant decrease in postoperative postvoiding residual urine volume in the suprapubic catheter group but no significant difference in maximum flow rate. In the Foley catheter group both maximum flow rate and postvoiding residual urine volume showed significant changes postoperatively. However, when comparing uroflowmetry results between groups no significant differences were observed.

Conclusions: Catheterization methods are utilized in the emergency management of acute urinary retention caused by benign prostate enlargement. Advantages and disadvantages should be carefully considered when selecting the appropriate method.  Our study has shed light on this aspect. We believe that conducting more comprehensive prospective studies could yield more reliable results.