Prescription of alpha-blockers after TURP: Are we reviewing medications appropriately?
BAUS ePoster online library. Henry M. Jun 25, 2019; 265261; CU-8
Ms. Mei-Ling Henry
Ms. Mei-Ling Henry
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This audit aimed to ascertain current practice at a single centre for urology, regarding the prescription of alpha-blockers for lower urinary tract symptoms after TURP for benign dis-ease.

Retrospective data were collected for consecutive patients undergoing TURP over an 8 week period at a single centre for urology using electronic discharge summaries and the pa-tient summary care record. National guidelines for management of male LUTS were used to set criteria and standards.

75.8% of patients had a repeat prescription for an alpha-blocker pre-operatively (25/33). 72.0% of these patients still had an alpha blocker on repeat prescription from their GP prac-tice at one month post-operatively (18/25). Of these patients, 33.3% had an alpha-blocker prescription issued from their GP after their discharge from hospital (6/18). 24.0% of patients had an alpha-blocker appropriately discontinued by their GP(6/25). One patient had their al-pha-blocker appropriately discontinued on their discharge summary. Of the remaining pa-tients, 12.5% had advice on their discharge summary regarding discontinuation of alpha-blockers (4/32). 84.8% of discharge summaries written did not contain advice regarding al-pha-blockers (28/33).

This audit demonstrated that a large proportion of patients are inappropriately prescribed an alpha-blocker following a TURP. By continuing repeat prescription of unnecessary alpha-blockers we may be putting patients at increased risk of falls, with morbidity to the patient and financial implication to the health service.

Lower urinary tract symptoms (LUTS) are a common presenting complaint in the ageing male population and an important factor impairing quality of life in men. Significant LUTS oc-cur in up to 30% of men aged over 65 (NICE, 2010) and there is an association between presence of LUTS and increased age (Martin et al).
Current guidance from the National Instit
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