Impact of Anticoagulants and Antiplatelets in Patients on Transurethral Resection of the Prostate
Study Details
Study Description
Brief Summary
Benign prostatic hyperplasia(BPH) is a common disease in urology among old men. If BPH symptom cannot be controlled by drugs, then transurethral resection of the prostate (TURP), is recommended. Although the procedure is quit safe, these old men often take anticoagulants and antiplatelets to control cardiovascular diseases, which arose some concerns for their bleeding risk. The management of anticoagulation in patients undergoing surgical procedures is challenging because interrupting anticoagulation increases the risk of thrombotic events. At the same time, surgery and invasive procedures have associated bleeding risks that are increased by the anticoagulant administration. Now, the recommendation about anticoagulants and antiplatelets discontinuation had no concrete evidence, especially in TURP. Furthermore, there is no relative studies done in Taiwan population, which calls for further investigation.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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A Non anticoagulant and/or antiplatelet users. |
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B Anticoagulant and/or antiplatelet users that hold their drugs during perioperative periods. |
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C Anticoagulant and/or antiplatelet users that doesn't hold their drugs during perioperative periods. |
Outcome Measures
Primary Outcome Measures
- Perioperative blood transfusion [in 1 week after surgery]
- Bladder clots [in 10 days after surgery]
- Hematuria [in 10 days after surgery]
- Urine tract infection [in 10 days after surgery]
- Duration of catheter [in 10 days after surgery]
- Duration of hospitalization [in 1 week after surgery]
- Cardiovascular event [In 28 days after surgery]
- Major bleeding [In 28 days after surgery]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Admitted to National Cheng Kung University Hospital Urology during the study
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Older than 20 years old
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Agree to participate this study
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Receiving transurethral resection of the prostate for benign prostatic hyperplasia or prostate cancer
Exclusion Criteria:
- Poor expression ability and without close care givers to answer questions
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | National Cheng Kung University Hospital | Tainan | Taiwan |
Sponsors and Collaborators
- National Cheng-Kung University Hospital
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- A-ER-105-045