The decline in transurethral resection of the prostate gland in Irish public hospitals between 2005 and 2021.

Autor: Curtin G; School of Medicine, University College Cork, Cork, Ireland., Scanlon L; Department of Urology, Mercy University Hospital, Cork, Ireland. Electronic address: lorrainescanlon@rcsi.ie., O'Kelly J; Department of Urology, Mercy University Hospital, Cork, Ireland., Sweeney P; Department of Urology, Mercy University Hospital, Cork, Ireland., Hennessey DB; Department of Urology, Mercy University Hospital, Cork, Ireland.
Jazyk: angličtina
Zdroj: The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland [Surgeon] 2023 Dec; Vol. 21 (6), pp. e346-e351. Date of Electronic Publication: 2023 Jun 15.
DOI: 10.1016/j.surge.2023.05.005
Abstrakt: Background: Lower urinary tract symptoms due to an enlarged prostate is a common condition. Transurethral resection of the prostate gland (TURP) has been the gold standard treatment. The objective of this study was to assess the trends in the prevalence of TURP procedures in Irish public hospitals within the period of 2005-2021. In addition, we explore the attitudes and practices of urologist in Ireland on this topic.
Methods: An analysis using the Hospital In-Patient Enquiry (HIPE) system using code 37203-00 was undertaken. 16,176 discharges contained the code of interest and had undergone a TURP procedure. The data from this cohort was further analysed. In addition, members of the Irish Society of Urology undertook a bespoke questionnaire to understand the TURP surgery practices.
Results: There has been a substantial decline in the prevalence of TURP procedures in Irish public hospitals from 2005 to 2021. The number of patients discharged from Irish hospitals with a TURP procedure was 66% less in 2021 compared to 2005. 75% (n = 36) of urologist surveyed felt that the declining TURP numbers were due to lack of resources, access to theatre/inpatient beds and outsourcing. 91.5% (n = 43) felt that the declining TURP numbers would result in a lack of training opportunities for trainees, 83% (39) felt this has increased morbidity for patients.
Conclusions: TURP procedures in Irish public hospitals has declined over the 16-year period studied. This decline is a concern for patient morbidity and urology training.
Competing Interests: Conflict of interest The authors declare that they have no conflicts of interest to disclose.
(Copyright © 2023 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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