1987
DOI: 10.1002/bjs.1800740731
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Prospective randomized controlled trial of urethral versus suprapubic catheterization

Abstract: Sixty-six patients requiring catheterization in the course of general surgical operations were randomly allocated into two groups. Of the 34 patients catheterized urethrally 16 developed urinary tract infections whereas of the 32 suprapubically catheterized patients only 2 developed an infection (P less than 0.001). Five patients required recatheterization after removal of their urethral catheters. There were no major complications associated with the use of suprapubic catheters. We propose that, when catheter… Show more

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Cited by 94 publications
(64 citation statements)
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“…necrosis and oedema, causing both prolonged retention and UTI in some patients. However, catheter-induced bacteriuria [32] could be part of the pathogenesis of UTI in these patients, perhaps by facilitating the establishment of a bacterial focus in the necrotic prostate, leading to subsequent recurrent infections. Therefore, it seems reasonable to suggest that the catheter should be removed as soon as possible after treatment.…”
Section: Discussionmentioning
confidence: 99%
“…necrosis and oedema, causing both prolonged retention and UTI in some patients. However, catheter-induced bacteriuria [32] could be part of the pathogenesis of UTI in these patients, perhaps by facilitating the establishment of a bacterial focus in the necrotic prostate, leading to subsequent recurrent infections. Therefore, it seems reasonable to suggest that the catheter should be removed as soon as possible after treatment.…”
Section: Discussionmentioning
confidence: 99%
“…Two studies reported a reduction of the urinary tract infection rate from 46 and 49%, respectively, with transurethral catheterization to 8 and 24%, respectively, after suprapubic catheterization [3, 4]. The other studies, however, found no difference [5, 6].…”
Section: Introductionmentioning
confidence: 95%
“…The number of patients to be included in this study was determined based on a decrease in urinary tract infections from 30 to 8%, as reported in a previous trial [3]comparing a transurethral catheter with a suprapubic catheter (superiority design), with a significance level of 5% and a power of 90%. It was calculated that each group should contain at least 62 patients.…”
Section: Methodsmentioning
confidence: 99%
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“…Compared with urethral catheterisation, SPC is associated with a superior quality of life, reduced infection rates and less pain and discomfort. It also enables patients, especially males to attempt normal voiding [2][3][4][5]. There is evidence to suggest that SPC are more acceptable to patients [3,4,6], with one study suggesting that 89% prefer SPC to urethral catheters [1].…”
Section: Introductionmentioning
confidence: 99%