Early removal of 3 way foleys catheter after transurethral resection of prostate in beneficial?

To compare the outcome of three way foleys catheter removed on 2[nd] and 5[th] day after Transurethral resection of Prostate for BPH regarding postoperative retention of urine, urine culture and hospital stay. Quasi Experimental study. This study was carried out in Department of Urology, University of Medical and health sciences Jamshoro from July 2010 to December 2011. This study consisted of 50 patients were divided in two groups. Group A for catheter was removed on 2nd post operative day of Trans Uretheral resection of prostate and group B for catheter was removed on 5th Post Operative Day of Trans Uretheral resection of prostate, each group consist of 25 patients. Detailed History was taken from all the patients with special regard to the urinary retention. Inclusion criteria were that all diagnosed as case of BPH on the basis of history and investigations. Exclusion criteria included unfit patients for general anesthesia, presented with chronic urinary retention, hematological disorders, pre operative infected urine and concurrent uretheral structure. Re-catheterization were in 2 patients [8%] group A and 1 patient [4%] in group B. Post operative urine culture growth of organism [bacteriuria] were 1 patient [4%] A and 3 patients [12%] in group B. Duration of hospital stay in group A was 5.68 as compared to the patients in group B was 8.44 days. In conclusion, early catheter removal had a dramatic impact on hospital stay. Catheters can be removed early after transurethral resection of prostate with no increase in morbidity and maintain the efficacy of the procedure, resulting in considerable savings to their patients. Our study confirms the safety of an irrigation-free and early catheter removal policy after TURP

Renal failure - a dreadful complication seen in patients with abruptio placentae

In a clinical study in the department of Obstetrics and Gynaecology at People's Medical College Nawabshah from 15th April 2000 till 30thAPril 2003, it was noted that 1662 patients got admitted in the maternity ward, amongst whom 340 [21%] patients came with the complaint of antepartum haemorrhage out of which 110 [7%] patients were found to have abruptio placentae. Amongst whom, in 72 [65%] patients the abruptio was severe enough to cause intra uterine death of the fetus and 15 [14%] patients developed acute renal failure. Five patients died due to the additive effects of various complications. 13 [12%] patients needed peritoneal dialysis out of them 7 patients subsequently improved and 3 patients required kidney transplantation and were referred to Karachi. Early diagnosis and quicker treatment saved the rest of the patients from developing dreadful complications