Attitudes among junior doctors towards improving the transurethral catheterisation process

Davis, Niall F.; Mooney, Rory; O’Brien, Marie; Walsh, Michael T.

doi:10.1007/s11845-014-1120-5

Cited by 10 publications

(5 citation statements)

References 6 publications

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“…The estimated incidence of iatrogenic catheter related urethral injury is 0.3-3% but this may under represent the true incidence 2,3 . Urethral injury typically occurs in men when the catheter's anchoring balloon is inadvertently inflated in the urethra 4 .…”

Section: Resultsmentioning

confidence: 98%

Preventing Urethral Trauma from Inadvertent Inflation of Catheter Balloon in the Urethra during Catheterization: Evaluation of a Novel Safety Syringe after Correlating Trauma with Urethral Distension and Catheter Balloon Pressure

et al. 2015

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Section: Resultsmentioning

confidence: 98%

Preventing Urethral Trauma from Inadvertent Inflation of Catheter Balloon in the Urethra during Catheterization: Evaluation of a Novel Safety Syringe after Correlating Trauma with Urethral Distension and Catheter Balloon Pressure

et al. 2015

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“…Previous studies reported that the incidence of iatrogenic catheter-related urinary injury is 0.3-3.0%, and the most common ways of injury by urinary catheterization were inadvertent balloon inflation in the urinary tract during insertion (23,24). The iatrogenic injury of the urethra and related complications were associated with significant cost and longer hospital LOS (25).…”

Section: Discussionmentioning

confidence: 99%

A Novel Tubeless Urinary Catheter Protocol Enhanced Recovery After Minimally Invasive Lung Surgery

et al. 2020

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Objectives: Although previous studies have shown the feasibility of non-intubated techniques, it is unknown whether avoiding urinary catheters can enhance recovery. This study aimed to determine whether the tubeless urinary catheter protocol is feasible and beneficial for minimally invasive lung surgery. Methods: Patients were randomized to the control group, completely tubeless group, and partially tubeless group. A propensity score–matched (PSM) analysis was performed to balance the non-random baseline characteristics. Complications and postoperative recovery were compared. Regression analysis was performed to identify the independent predictors of complications. A nomogram for predicting the risk of non-automatic micturition was constructed and internally validated. Results: One hundred fifty-nine patients were enrolled. The incidence rates of urinary irritation and urinary tract infection (UTI) were significantly lower in the tubeless groups (74.4 vs. 39.5%, p < 0.001; 28.2 vs. 8.6%, p = 0.001, respectively). The tubeless group had a higher proportion of 0-degree discomfort (81.5 vs. 30.8%, p = 0.001) and shorter duration of postoperative hospital stay than the control group (4.59 vs. 5.53 days, p < 0.001). No difference was observed in terms of urination retention and urinary incontinence between the tubeless group and the control group. After PSM, the advantages of the tubeless group still existed, and comparing to the partially tubeless group, the completely tubeless group was of even less UTI and more 0-degree discomfort (18.5 vs. 0.0%, p = 0.019; 96.3 vs. 59.3%, p = 0.002). The tubeless protocol was the only independent protective factor of urinary complications. A nomogram was constructed and showed good predictive ability. Conclusions: The tubeless catheterization protocol led to fewer complications, better compliance, and shorter hospital length of stay. The advantages were more significant with the completely tubeless protocol. The utility of our nomogram can assist clinicians in avoiding risks in performing the tubeless protocol.

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“…To decrease or eliminate the risk of urethral injury or rupture during UC, urologists must be willing to support safer urethral catheter design modifications such as the technology outlined in this study. One recent study of 130 junior doctors found that 90% would be interested in a safety mechanism for preventing urethral trauma and 71% felt that such a mechanism should be mandatory when catheterising male patients 14 . Similarly, we noted that 100% of respondents to our questionnaire believed that a safety mechanism for preventing urethral trauma during UC should be compulsory when catheterising male patients.…”

Section: Discussionmentioning

confidence: 99%

Clinical Evaluation of a Safety-device to Prevent Urinary Catheter Inflation Related Injuries

Davis

Cunnane

Mooney

et al. 2018

Urology

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Attitudes among junior doctors towards improving the transurethral catheterisation process

Abstract: Despite pre-emptive training programmes, it appears that iatrogenic urethral trauma secondary to TUC remains a persistent morbidity in healthcare settings. Designing a safer transurethral catheter may be necessary to eliminate the risk of unnecessary urethral trauma in patients.

Cited by 10 publications

References 6 publications

Preventing Urethral Trauma from Inadvertent Inflation of Catheter Balloon in the Urethra during Catheterization: Evaluation of a Novel Safety Syringe after Correlating Trauma with Urethral Distension and Catheter Balloon Pressure

Preventing Urethral Trauma from Inadvertent Inflation of Catheter Balloon in the Urethra during Catheterization: Evaluation of a Novel Safety Syringe after Correlating Trauma with Urethral Distension and Catheter Balloon Pressure

A Novel Tubeless Urinary Catheter Protocol Enhanced Recovery After Minimally Invasive Lung Surgery

Clinical Evaluation of a Safety-device to Prevent Urinary Catheter Inflation Related Injuries

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