To evaluate the safety and efficacy of enhanced recovery after surgery (ERAS) for patients undergoing unselective urological surgeries.

ERAS was applied for all 415 adults accepted operations in the department of urology in our hospital from July to December 2018. The diseases included stone, tuberculosis, tumor, congenital malformation and so on. There were 324 grade Ⅲ and Ⅳ surgeries (78.1%). Of 415 patients, 288 were male, and 127 were female. Their ages ranged from 18 to 88 years old and body mass index was (14.0-35.9) kg/m². 120 cases were performed laparoscopy, 281 cases underwent urologic endoscopic surgical procedure and only 14 cases accepted open operations. Their postoperative recovery data were retrospectively analyzed.

The postoperative hospital stay was (3.87±3.65) d. The first passage of stool was (1.01±1.02) d. Resumption of oral nutrition and mobilization on postoperative day 0 were recorded in 380(91.6%) and 358(86.3%) patients respectively. Grade I, Ⅱ, Ⅲa, Ⅲb complications were observed in 36(8.7%), 17(4.1%), 3(0.7%) and 2(0.5%) cases respectively according to Clavien-Dindo classification. There were no grade Ⅳ or Ⅴ complications. Unplanned reoperation occurred in 2 cases (0.5%). One case was intractable hemorrhage of bladder resulting from transurethral resection for bladder cancer. The other case was the incomplete ureteral obstruction secondary to the laparoscopic renal pedicle lymphatic disconnection. The readmission within 30 days after discharge happened in 1 case (0.2%) due to urinary infection after laparoscopic radical cystectomy with ileal conduit.

It is safe and feasible to unselectively carry out ERAS program for adults underdoing urological surgeries. It helps patients returning to common life (oral nutrition, mobilization and defecation) rapidly after surgery.