Effect of ERAS-Based Rapid Bladder Irrigation on TURP and HoLEP in the Treatment of Benign Prostatic Hyperplasia

Shuhui  An; Haoxuan Yang; Qingsong Meng

doi:10.12669/pjms.41.3.9751

Shuhui An
Haoxuan Yang
Qingsong Meng the Second Hospital of Hebei Medical University

DOI: https://doi.org/10.12669/pjms.41.3.9751

Keywords: Transurethral Resection of the Prostate (TURP), Holmium Laser Enucleation of the Prostate (HoLEP), Enhanced Recovery After Surgery (ERAS), Rapid Bladder Irrigation

Abstract

Objective: To explore the positive effect of rapid bladder irrigation in postoperative BPH patients by collecting and analyzing the efficacy and complications of TURP and HoLEP treatments for patients with benign prostatic hyperplasia (BPH) under ERAS care.

Methods: A retrospective analysis was conducted on 197 BPH patients undergoing surgical treatment at the Second Hospital of Hebei Medical University from April 2022 to February 2024. All patients received rapid bladder irrigation under ERAS care, which involves flushing the bladder with a larger volume of saline solution in a shorter time postoperatively compared to conventional bladder irrigation care. Afterward, clinical data and postoperative irrigation indicators for each group were collected and analyzed.

Results: Patients in the T1 group were observed with larger prostate volume, longer operation time, and more intraoperative blood loss than those in the T2 group, but with shorter duration of indwelling urinary catheters, shorter irrigation time, and shorter hospital stays (P<0.05). Meanwhile, the H1 group saw lower mean irrigation volume and shorter irrigation time than the H2 group. Differences were found between the T1 and H1 groups in terms of mean irrigation volume and irrigation time (P<0.05), Additionally, patients in the T2 group had lower prostate volume than those in the H2 group, with differences in mean irrigation volume and irrigation time (P<0.05).

Conclusion: ERAS concept complements rapid bladder irrigation, which shortens the time to self-care recovery and discharge, thereby facilitating faster postoperative recovery for BPH patients.

doi: https://doi.org/10.12669/pjms.41.3.9751

How to cite this: An S, Yang H, Meng Q. Effect of ERAS-Based Rapid Bladder Irrigation on TURP and HoLEP in the Treatment of Benign Prostatic Hyperplasia. Pak J Med Sci. 2025;41(3):693-698. doi: https://doi.org/10.12669/pjms.41.3.9751

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