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?:abstract
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Objectives:This study aimed to audit the waiting times for a transurethral resection of prostate (TURP) at our institution, and to evaluate the extent of catheter-associated morbidity in this population Methods:This was a retrospective closed-loop audit, with cycle one between 1 January 2018 and 31 December 2018 and cycle two between 1 October 2019 and 29 February 2020 Data collected included patient demographics, catheter status, catheter-associated presentations to accident and emergency (A&E), admissions and waiting times for TURP The waiting-list form now has a catheter box, and a goal of 30 days from waitlisting to operation was set for those catheterised Results:In cycle 1, 36% of the 181 patients were catheterised, and waited a median of 119 days (interquartile range (IQR) 59?163 days) for their TURP, while those not catheterised waited a median of 118 days (IQR 57 75?188 25 days) Catheterised patients presented to A&E 93 times, resulting in 13 admissions, compared to two presentations and zero admissions for those not catheterised The median time from catheter insertion to first A&E attendance was 20 days (IQR 2?101 days) In cycle 2, 33% of the 55 patients were catheterised, with the median waiting-list time falling to 32 days (IQR 22?46 days) in those catheterised and 33 days (IQR 20?49 days) in those not catheterised All 11 A&E attendances were from catheterised patients, with no admissions The median time from insertion to first A&E attendance was nine days (IQR 4?40 days) Eighty-eight per cent of the waiting-list forms had appropriately ticked the catheter box Conclusion:Our study shows that catheterised patients awaiting a TURP are more likely to have complications necessitating A&E attendance Prioritisation of these patients on the waiting list for bladder outflow obstruction surgery may help to reduce catheter-associated morbidity Level of evidence:Level 2c
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