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Current trends in the management of radical retropubic prostatectomy: is short-stay RRP feasible in the United Kingdom?

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Abstract

Background: Our aim was to review UK practice in the management of radical retropubic prostatectomy and identify opportunities to reduce LOS to American levels.

Methods: A survey was conducted of BAUS members regarding LOS and postoperative management.

Results: Out of 551 surveys 126 were returned. Mean LOS in the UK is 5.2 days. Opiate analgesia, PCA and postoperative epidural may delay discharge. Diet and mobilization are commenced at 1.7 and 2.1 days, respectively.

Conclusion: Care pathways can safely reduce LOS to 2 days. Protocols to reduce LOS in the UK should be assessed and their impact on cost and quality-of-life evaluated.

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References

  1. Licht MR, Klein EA . Early hospital discharge following radical retropubic prostatectomy: impact on cost and complication rate. Urology 1994; 44: 700–704.

    Article  CAS  Google Scholar 

  2. Koch MO, Smith JA, Hodge EM, Brandell RA . Prospective development of a cost-efficient program for radical retropubic prostatectomy. Urology 1994; 44: 311–318.

    Article  CAS  Google Scholar 

  3. Worwag E, Chodak GW . Overnight hospitalistion after radical prostatectomy: the impact of two clinical pathways on patient satisfaction, length of hospitalization and morbidity. Anaes Analg 1998; 87: 62–67.

    CAS  Google Scholar 

  4. Hajjar JH, Budd HA, Wachtel Z, Howhannesian A . Ambulatory radical retropubic prostatectomy. Urology 1998; 51: 443–448.

    Article  CAS  Google Scholar 

  5. Litwin M et al. Cost-efficient radical prostatectomy with a clinical care path. J Urol 1996; 155: 989–993.

    Article  CAS  Google Scholar 

  6. Keetch DW, Buback D . A clinical-care pathway for decreasing hospital stay after radical prostatectomy. BJU 1998; 81: 398–402.

    Article  CAS  Google Scholar 

  7. Palmer J et al. Same day surgery for radical retropubic prostatectomy: is it an attainable goal? Urology 1996; 47: 23–28.

    Article  CAS  Google Scholar 

  8. Kirsh EJ, Worwag EM, Sinner M, Chodak GW . Using outcome data and patient satisfaction surveys to develop policies regarding minimum length of hospitalization after radical prostatectomy. Urology 2000; 56: 101–107.

    Article  CAS  Google Scholar 

  9. Litwin MS, Shpall AI, Dorey F . Patient satisfaction with short stays for radical retropubic prostatectomy. Urology 49: 898–906.

  10. Ramsden AR, Thurairaja R, Persad R, Chodak GW . Is short stay radical retropubic prostatectomy feasible in the United Kingdom? (Abstract). Prostate Cancer Prostatic Diseases, In press.

  11. Ravichandran S, Dasgupta P, Booth CM . Radical prostatectomy in Britain and Ireland at the Millennium. BJUI 2000; 90: 420–423.

    Article  Google Scholar 

  12. Guidance on Cancer Services. Improving Outcomes in Urological Cancer. The Manual. National Institute for Clinical Excellence, September 2002.

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Correspondence to A R Ramsden.

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Table 1

Appendix 1 Condensed questionnaire on RRP management

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Ramsden, A., Thurairaja, R., Persad, R. et al. Current trends in the management of radical retropubic prostatectomy: is short-stay RRP feasible in the United Kingdom?. Prostate Cancer Prostatic Dis 7, 50–53 (2004). https://doi.org/10.1038/sj.pcan.4500698

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  • DOI: https://doi.org/10.1038/sj.pcan.4500698

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