Introduction & Objectives: Ambulatory BPH Surgery is possible? TURis has proved its effectiveness in treating symptoms of BPH, with maximum safety without increasing the rate of complication and days stay. We report a pilot study of the feasibility of a TURis without an overnight stay. On certain selected patients as a day-case procedure, by using modern anesthetic techniques and TURis system in Cheik Khalifa Hospital Casablanca Morocco.
Material & Methods: A total of 25 men who fulfilled a number of selection requirements were included in the study. The usual parameters of symptoms (assessed using the AUA score, urinary flow rate and bladder residual volume on ultrasound), The patients were also selected according to age, their medical fitness for day-case anaesthesia (ASA grade I-II) and prostatic size Other essential inclusion criteria included proximity of home to hospital, the presence of partner/carer to escort them home and stay with them for at least 24 h, and access to a telephone. The patient was admitted at 7 am, started the TURis at 8 am under a locoregional anaesthesia for all patients The patient leaved the hospital at 20 pm (12 hours after).
Results: All 25 patients who were selected for the study underwent surgery and attended follow-up as arranged. Anaesthesia and surgery were performed without complication in all patients. The prostate mean weight was 30 g ( range 30 to 50 ). The mean operative time was 45 min (35 -70 ). There was no conversions and no complications for all the cases. The urethral catheter was removed at the same day in 10 cases and the next postoperative day in 15 cases. All the cases left the hospital 12 hours afters the surgery At the follow up, all patients had an IPSS ,and Qmax amelioration with irritative symptôme in 20% cases in the first week.
Conclusions: TURis offers the patient the same results as monopolar technology guaranteeing maximum safety, reducing the bleeding and short hospital stay. The ambulatory BPH surgery is possible.
