Factors Associated With The Length of Stay in Hospital of Benign Prostatic Hyperplasia (BPH) Patient Who Undergo Transurethral Resection Of Prostate (TURP) Surgery At West Nusa Tenggara Province General Hospital Mataram In 2012-2017

Abstract

Background: Benign Prostatic Hyperplasia (BPH) is the most common benign tumor that occurs in elderly men. Complaints of BPH patients are mostly in the form of lower urinary tract symptoms (LUTS). TURP is the gold standard surgical procedure in BPH patients. LUTS that are suffered by patients is related to the high cost of personal and community medicine. Length of stay is one of the sources of treatment costs. It needs further investigation regarding the factors associated with the length of stay so that patient care can be more effective and efficient. Method: This research is a descriptive-analytic study with a cross-sectional design.  A total of 173 BPH patients who fulfilled the inclusion and exclusion criteria were examined based on age, prostate volume, length of stay, comorbidities, and complications of surgery. Analysis of bivariate correlation was performed using the Spearman and Contingency Coefficients correlation test according to variable data scales. Results: From 173 patients, the average age was 65.55 years, the average prostate volume was 72.44 ml with the majority of patients in the grade III category (40.46%), and the average length of stay for 6.27 days. 80.9% of patients had concomitant diseases, 54.34% of patients had bleeding complications, and no patients had TUR syndrome. Correlation test showed no significant relationship between length of stay and age (p = 0.663); prostate volume (p = 0.910); hypertensive comorbidities (p = 0.775), CAD (p = 0.459), hypertension and DM (p = 0.661), hypertension and CAD (p = 0.251); and complications of surgical bleeding (p = 0.715). Conclusions: There was no association between age, prostate volume, comorbidities, and surgical complications with the length of stay in BPH patients who underwent TURP surgery at West Nusa Tenggara Province General Hospital Mataram in 2012-2017. Keywords: Length of stay, BPH, TURP