Effects of Perioperative Continuous Nursing on Urinary Function Recovery, Lower Urinary Tract Symptom Improvement, and Postoperative Complications After Transurethral Resection of the Prostate.

BACKGROUND

To investigate the effects of perioperative continuity nursing care on urinary function recovery, improvement in lower urinary tract symptoms, and postoperative complications in patients after transurethral resection of the prostate (TURP).

METHODS

We analysed the medical records of 193 patients with benign prostatic hyperplasia who underwent TURP at Jieshou People's Hospital between January 2023 and June 2024. Based on the perioperative care regimens actually administered to the patients, they were divided into a control group (n = 95) and a study group (n = 98). Data were collected and compared regarding patients' recovery of urinary function, improvement in lower urinary tract symptoms, inflammatory markers, and postoperative complications.

RESULTS

The time to return of spontaneous voiding (TRSV) was significantly shorter in the study group than in the control group; post-void residual volume (PVR) at three months postoperatively was significantly lower in the study group than that in the control group; maximum flow rate (Qmax) was significantly higher in the study group than that in the control group; and the use of 24-hour urine pads at three months postoperatively was significantly less in the study group than that in the control group. At three months post-operatively, the International Prostate Symptom Score (IPSS) in the study group was significantly lower than that in the control group. Five days post-operatively, C-reactive protein (CRP) levels in the study group were significantly lower than those in the control group. The overall incidence of post-operative complications in the study group was 4.49%, which was significantly lower than the incidence (13.48%) observed in the control group.

CONCLUSIONS

Perioperative continuity nursing care is associated with improved postoperative urinary function, alleviated lower urinary tract symptoms, reduced postoperative inflammatory response and a lower risk of complications in patients undergoing TURP.