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Incidence of complications in men undergoing transurethral resection of the prostate

Kusljic,, S, Aneja,, J and Manias, Elizabeth 2015, Incidence of complications in men undergoing transurethral resection of the prostate, Collegian, vol. 24, pp. 1-7, doi: 10.1016/j.colegn.2015.07.001.

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Title Incidence of complications in men undergoing transurethral resection of the prostate
Author(s) Kusljic,, S
Aneja,, J
Manias, ElizabethORCID iD for Manias, Elizabeth
Journal name Collegian
Volume number 24
Start page 1
End page 7
Total pages 7
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2015
ISSN 1322-7696
Keyword(s) Aging
Medication use
Physiological changes
Transurethral resection of the prostate
Science & Technology
Life Sciences & Biomedicine
Transurethral resection of the
Summary Objectives: To examine the link between medication use and the risk of bleeding complications following transurethral resection of the prostate from the second postoperative day until hospital discharge. Method: Using a retrospective observational study design, the medical records of all patients who underwent transurethral resection of the prostate over a 24-month period were examined. Comprehensive data regarding patients' medication history, comorbidities and complications that occurred either during or after surgery were collected from medical records. Inferential statistical analysis was used to examine associations between demographic and medication variables and the risk of complications. Results: Complications arising after surgery occurred in 48/135 (36%) of patients. The most common complications postoperatively were hematuria, occurring in 41/48 (85%) and hematuria with clot retention, occurring in 24/48 (50%) of patients who suffered complications. There was a significant association between the number of medications prescribed and postoperative complications; for hematuria, χ 2 (12)=21.50, p =0.04; and for hematuria with clot retention χ 2 (12)=24.97, p =0.015. Conclusions: Demographic data relating to patients' age, comorbid state and the number of standard medications prescribed is associated with an increase in macroscopic hematuria and macroscopic hematuria with clot retention after transurethral resection of the prostate. These findings emphasize the importance of nursing practice in both preoperative and postoperative care of patients undergoing surgery. Nurses need to be very vigilant in assessing patients at risk of increased bleeding from a transurethral resection of the prostate by examining their medication regimen.
Language eng
DOI 10.1016/j.colegn.2015.07.001
Field of Research 111099 Nursing not elsewhere classified
1110 Nursing
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Elsevier
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Document type: Journal Article
Collection: School of Nursing and Midwifery
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