1498 A Ten-Year Observational Study of The Use of Two-Way Catheters Post-Transurethral Resection of The Prostate Without the Use of Post-Op Irrigation

Abstract Over 15,000 transurethral resections of the prostate (TURP) are performed yearly in UK. It is therefore vital that peri-operative care optimised. Our centre favours use two-way catheters post-operatively without continuous bladder irrigation (CBI). Aim To evaluate our practice using post-TURP and to determine impact on patient compared standard three-way catheterization. primary outcome was duration admission, but multiple secondary outcomes were also analysed. Method This a prospective observational study. Every undergoing TURP at from 2009 2019 included. Prospective data collected pertaining factors. then with published NICE guidance TURP. Results 687 patients underwent between 2009-2019. The average age 71.42 (±7.89). 87.17% (n = 598) had placed post-operatively. Average admission 1.61 (±1.35) days. TWOC successful 93.74% 644). Complication rate 8.73% 60), reduced comparison other units. Furthermore, when centres, method lengths transfusion rates (1.6 days vs. 3.1 0.87% 2.83% respectively). Conclusions preserves safety associated length admission. has cost-saving benefits post-operative period catheterisation. We recommend this wider urological community.