Benign prostatic hyperplasia (BPH) is the most common cause of bladder outlet obstruction in men over 50, with 30-40% experiencing bothersome lower urinary tract symptoms such as nighttime awakening to urinate, weak urinary stream, incomplete emptying, and increased hesitancy, frequency and urgency (Réf.1). Transurethral resection of the prostate (TURP) is the mainstay of surgical therapy for BPH and is the unopposed standard treatment for these patients (Réf.2). A study by the Canadian Institute for Health Information (CIHI) demonstrated that more than 20,000 TURPs are performed annually in Canada (Réf.3). This common procedure includes a one to three day post-operative stay in the hospital for post-surgical care such as catheterization for urinary retention (Réf.4). As of April 2022, Hôpital Montfort (HM), in collaboration with the Ottawa Paramedic Service Community Paramedic Program and the Ottawa East Ontario Health Team and supported by Ontario Health, has transformed the traditional model of post-op (TURP) hospital care into a well-coordinated early discharge team-based healthcare delivery model. Our innovative model allows the shift of post-op TURP care from hospital to home directly from the surgical day care (SDC) unit. Through highly skilled Community Paramedics, our model provides safe 24/7 monitoring and aims to allow a safe and effective alternative to hospitalization while supporting patient navigation, offering patient-centered care, enhancing patient, family and provider experience, satisfaction and improving health outcomes. This program also relieves critical pressures on the health care system.

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