555 Do Patients Want a Day Case BOO Procedure?

Aim According to Getting It Right First Time (GIRFT) guidance, 25% of all Bladder Outflow Obstruction (BOO) surgery should be performed as a day-case procedure. The common practice amongst NHS trusts that achieve this target is to discharge patients home with a catheter, to return at a later date for trial without catheter (TWOC). The aim of this study was to determine if patients want to be discharged with a catheter. Method Data was collected at a single trust from 31 patients attending a Urology CNS clinic following their BOO surgery. All patients underwent either a TURP, HoLEP or BNI between 29/12/2022 to 13/06/2023. All patients were asked ‘If you were to go home on the day of your surgery with your catheter and come back in the following day to have your catheter removed, would you be agreeable to this?’. Patient responses were documented in clinic notes. Results 84% of patients did not want to go home with a catheter following their surgery. Specific reasons included concerns if something were to go wrong with the catheter (4), catheter size (2) and catheter management (1). 13% of patients would be happy to go home with a catheter and one patient was ambivalent. Conclusions Over 80% of patients that underwent BOO surgery did not want to go home with a catheter. We suggest a solution to this would be removal of the catheter on the day of surgery. To date, 9 patients have undergone successful, same day catheter removal without complications.