Risk Factors Predicting Fever After Trans-Urethral Prostatectomy
INTRODUCTION
There are several risk factors for the occurrence of febrile events after Trans-Urethral Prostatectomy- TURP. Our aim was to examine the risk factors for postoperative fever in patients undergoing TURP at our institution.
METHODS
A total of 177 patients underwent TURP during 1/2016-8/2017. Data collected included: postoperative fever (>=38 degrees Celsius), presence of a permanent catheter, antibiotic treatment, preoperative urine culture, diabetes, procedure combined with bladder stone treatment and prostate size.
RESULTS
All patients received antibiotic prophylaxis prior to the procedure. 83 patients who had a negative urine culture were empirically treated (IV Amikacin + IV Ampicillin), 94 with positive urine culture were treated according to bacteria sensitivity profile. One patient developed fever in the group of patients with negative culture, compared to 8 in the group undergoing surgery with positive urine culture (p=0.0375). No patient developed a septic shock. Procedures combined with cystolithotripsy (p=1.00), indwelling urethral catheter (p=0.16230) and diabetes (p=0.4775) did not increase the risk of fever after surgery. Sixteen patients received antibiotics a week prior to surgery, none of them developed fever after surgery. To our surprise, a smaller prostate size increased the risk of a postoperative febrile event (
CONCLUSION
Positive urinary culture prior to TURP is a frequent event. In our study, although positive urinary culture increased the risk of post TURP febrile events, none of these events caused significant morbidity.
Funding: none