RESUMO
OBJECTIVE: To determine whether early catheter removal after transurethral resection of the prostate (TURP) leads to early hospital discharge with no increase in complications. PATIENTS AND METHODS: From October 1992 50 consecutive patients undergoing TURP in each of two hospitals were catheterized for < 24 h or > 36-48 h after the operation. Patients were followed up to assess the frequency and extent of post-operative complications. RESULTS: The two groups, which were standardized as far as possible, had a similar outcome whether the catheter was removed within 24 h or > 36 h after TURP. CONCLUSION: Brief catheter drainage after TURP is safe and allows an earlier discharge from hospital than the standard duration of catheterization.
Assuntos
Prostatectomia/métodos , Doenças Prostáticas/cirurgia , Cateterismo Urinário/métodos , Idoso , Idoso de 80 Anos ou mais , Humanos , Tempo de Internação , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Cateterismo Urinário/efeitos adversos , Transtornos Urinários/etiologiaRESUMO
The origins of urology as a specialty and the organization of urologists is outlined. This coincides with the 50th anniversary of the Urological Society of Australasia (USA). Biographies of the first five presidents of the USA illustrate some characteristics of the foundation members.
Assuntos
Sociedades Médicas/história , Urologia/história , Austrália , História do Século XX , Nova ZelândiaRESUMO
Two elderly patients presented with renal failure due to pelviureteric junction (PUJ) obstruction. After dialysis, obstruction was relieved by percutaneous nephrostomy and the diagnosis was established radiologically. Differential renal function was assessed by direct measurement or isotope scanning. Surgical correction resulted in both patients remaining free of dialysis at follow-up 2 years later. PUJ obstruction is an uncommon cause of renal failure, particularly in the elderly, but is potentially correctable.
