Factors influencing blood transfusion in patients undergoing transurethral resection of prostate [TURP]

ABSTRACT

To determine the quantitive requirement of blood transfusion in patients undergoing TURP, and to identify factors which influence it. Design: Prospective study of one hundred patients undergoing TURP, and analysis of pre-determined factors pre operatively and post operatively. Setting: Department of Urology, Mayo Hospital Lahore. Subjects: One hundred consecutive patients with a diagnosis of Bladder Out Flow Obstruction who underwent TURP. Main outcome measures: To asses actual amount of blood transfused and to establish its correlation to various factors identified at the start of the study. Out of one hundred consecutive patients who underwent TURP, thirty seven were transfused and sixty three did not require transfusion. In the first group twenty seven patients required one unit of blood, and ten patients required two units of blood. Forty seven units of blood was used against two hundred units procured, showing a utility of 23.5%. There was statistically significant difference in two groups when mean values of resected weight, resection time, volume of irrigating fluid and episodes of dot retention were compared. Conclusions: Factors identified were similar as in other studies, but the rate of transfusion was on the higher side, especially in the background of hazards like HIV, Hepatitis B,C