Patients undergoing Transurethral Resection of Bladder Tumor (TURBT) and Transurethral Resection of Prostate (TURP) may face several issues related to unnecessary pretransfusion blood sampling. Here are some common problems and potential solutions:
Increased Anxiety and Stress - Frequent blood sampling can heighten anxiety for patients who are already stressed about their procedures.
Physical Discomfort - Multiple venipunctures can lead to pain, bruising, or infection at the injection site.
Delays in Treatment - Unnecessary tests may delay the scheduling of procedures, prolonging patient discomfort and anxiety.
Cost Implications - Additional blood tests may lead to increased medical costs for patients, especially if not covered by insurance.
Unwarranted Use of Resources - Unnecessary blood sampling contributes to the overuse of healthcare resources, which could be allocated more efficiently.
Impact on Blood Supply - Excessive testing can strain blood banks and resources, potentially impacting the availability of blood for patients who truly need it.
Good day . It is my experience that the patients wee have presenting with the need for TURBT have very large sessile and lateral and often multifocal tumours. As to TURP's the average prostate sizes approached ar ein the order of 100gm. If by pre procedure sampling you refer to pre operative assessment for either Haemoglobin of Haematocrit then absolutely it is needed. Guaging bloodloss intraoperatively is by experience and at best guesswork. Knowing where you start and evalluating loss through intraoperative blood gas analysis as a rapid strategy is done with concurrent type crossmatch or hold or available in theatre for two units if operating at our offsite theatre where easy access to blood rapid supply is not available.