Patients with bladder cancer undergoing transurethral resection of a bladder tumor (TURBT) may experience procedure-related morbidity. A clinical trial evaluated whether an enhanced recovery after surgery (ERAS) protocol could improve recovery following ambulatory TURBT in 100 patients. Fifty patients received ERAS, which included preoperative patient education and intraoperative and postoperative anesthesia and surgical interventions, while 50 received usual care.
The ERAS group achieved higher Quality of Recovery-15 scores on the day of surgery and postoperative day 1 than the control group (137 vs 125). Patients in the ERAS group also had lower Urinary Tract Infection-Symptom Impairment Questionnaire (UTI-SIQ-8) scores. In addition, ERAS was associated with lower urethral pain (2.4 vs 4), penile/vulvar pain (1.3 vs 2.7), dysuria (2.6 vs 4.4), and urinary incontinence rates (14% vs…
