EFFICACY OF BLADDER TRAINING PROCEDURE IN PATIENTS UNDERGOING TURP
Abstract: Catheter management
is conducted to the patients undergoing transurethral resection of the prostate
(TURP). There were many arguments between clinical practitioners about bladder
training procedure after TURP procedure. This study aims to determine whether
there is a relationship between bladder training action and success of
spontaneous micturition in post TURP procedure in patients with urinary
retention caused by prostate enlargement. Material & methods: Randomized
clinical trial was conducted at Kardinah General Hospital, Tegal from October
2015 to February 2016. 44 study participants who underwent TURP were randomly
allocated into two groups. In Group I, patient’s Folley catheter was clamped
prior to its removal (bladder training group); and in Group II was not clamped
(control group). Results: Mean age of patients was 64.48 ± 8.1 years old. There
were 23 patients (52.3%) have had history of recurrent urinary retention and 21
patients (47.7%) have had not (p=0.560). There were 4 patients (17.4%) in Group
I and 1 patient (4.7%) in Group II who required re-catheterization and
discharge with catheter. There was no statistically significant difference in
spontaneous micturition rate between bladder training group and control group
(p=0.187). Conclusion: The result of the
current study identified that bladder training to patients undergoing TURP
procedure had no significant impact in spontaneous micturition.
Keywords: Bladder training;
transurethral resection of the prostate; catheterization; post-operating
management
Author: Nicolaus Kresno
Harimurti, Zulfikar Ali, Trisula Utomo
Journal Code: jpkedokterangg180008
