FACTORS INFLUENCING RECOVERY TIME AND HOSPITAL STAY AFTER TRANSURETHRAL RESECTION OF PROSTATE (TURP)

ABSTRACT OBJECTIVES This study aimed to evaluate the factors influencing recovery time and the length of hospital stay (LHS) following TURP surgery. METHODOLOGY A descriptive study was conducted over 6 months in the Department of Urology at the Institute of Kidney Diseases, Peshawar, involving 78 patients aged 40-80 years undergoing TURP. Data were collected on demographic and clinical variables, perioperative factors, and postoperative outcomes, including recovery and LOHS. Data were analysed using SPSS version 23. Chi-square and Fisher's exact tests were applied, with p ≤ 0.05 considered statistically significant. RESULTS The mean age was 70.05 ± 8.14 years. Median BMI was 24.55 (23.0-26.93) kg/m². Median prostate size was 82.0 (72.0-89.0) g. Median length of hospital stay was 4.0 (3.0-5.0) days. Median recovery time was 54.5 (32.8-74.0) days. Recovery <30 days occurred in 25.0% of patients aged 40-60 years and 16.9% aged 61-80 years (p = 0.511). Prostate size >80 g (p < 0.001), intraoperative bleeding >500 ml (p < 0.001), operative time >1 hour (p = 0.014), and clot retention (p < 0.001) were significantly associated with delayed recovery. Comorbidities showed borderline association with recovery (p = 0.051) and significantly influenced LOHS. Age and BMI were not significant predictors. CONCLUSION This study demonstrated that prostate size, intraoperative bleeding, operative time, and clot retention were significantly associated with prolonged hospital stay and delayed recovery following TURP. However, on multivariable logistic regression analysis, postoperative clot retention was the only independent predictor of both prolonged hospitalization and delayed recovery.