Published Evidence Favors the Use of Suprapubic Catheters in Pelvic Colorectal Surgery

Branagan, Graham; Moran, Brendan

doi:10.1007/s10350-004-6368-9

Cited by 44 publications

(19 citation statements)

References 24 publications

(35 reference statements)

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“…Endpoints considered in the studies were significant bacteriuria, clinical features of urine infection, failure to void normally after surgery, recatheterization and patient satisfaction. Two review articles 17,18 and one Cochrane Review meta-analysis 19 were found that described the use of the two catheter techniques in general, orthopaedic and gynaecological surgery. Randomized controlled trials were included in the meta-analysis if the study techniques and endpoints were suitably similar.…”

Section: Resultsmentioning

confidence: 99%

A meta-analysis comparing suprapubic and transurethral catheterization for bladder drainage after abdominal surgery

McPhail

Hilal

Johnson

2006

British Journal of Surgery

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Section: Resultsmentioning

confidence: 99%

A meta-analysis comparing suprapubic and transurethral catheterization for bladder drainage after abdominal surgery

McPhail

Hilal

Johnson

2006

British Journal of Surgery

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“…Some patients with detrusor-sphincter dyssynergy require clean intermittent self-catheterisation, and others may need permanent catheterisation. In these cases suprapubic catheters offer a lower risk of infection and complications than intraurethral catheterisation [4,31].…”

Section: ■ Bladdermentioning

confidence: 99%

Neurorehabilitation in multiple sclerosis?what is the evidence-base?

Kesselring

2004

J Neurol

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Multiple sclerosis is associated with a variety of symptoms and functional deficits that result in a range of progressive impairments and handicap. The symptoms, which contribute to loss of independence and restrictions in the participation in social activities, are often responsible for a continuing decline in quality of life. The main objective of rehabilitation is, therefore, to ease the burden of symptoms by improving self-performance and independence. Compensation of functional deficits, adaptation and reconditioning, together with management of symptoms, impairment, emotional coping and self-estimation, are all important long-term objectives. Although rehabilitation has no direct influence on disease progression, recent studies indicate that this form of intervention improves personal activities and participation in social activities, thereby improving quality of life. The improvements often outlast the treatment period by several months. These findings suggest that quality of life is determined by disability and handicap more than by functional deficit and disease progression.

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“…It is reported that in patients undergoing abdominal, gynecological or vascular surgery, postoperative discomfort was significantly higher in patients with urethral versus suprapubic catheterization. [5][6][7] Although many studies have recently shown that cystography can direct early catheter removal with no increase in morbidity, 8,9 and there has been a movement towards shortened catheterization, 10,11 the optimal timing for catheter removal is yet to be determined.…”

Section: Introductionmentioning

confidence: 99%

Suprapubic versus transurethral bladder drainage after radical prostatectomy: Impact on patient discomfort

Orikasa¹,

Kanbe²,

Shirai³

et al. 2012

Int J of Urology

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Abstract:We evaluated the feasibility and the benefits of total prostatectomy with suprapubic cystostomy drainage instead of a urethral Foley catheter. Of 65 consecutive total retropubic prostatectomies, 42 were carried out with the suprapubic cystostomy, and 23 with the urethral Foley catheter. Patients were asked postoperatively to complete a 5-cm visual analog scale on pain intensity related to the catheter and to urination after catheter removal. No problem related to cystostomy per se was observed. In the cystostomy group, over 85% and 69% of men perceived no urinary symptoms during catherization and no painful urination after catheter removal, respectively; whereas in the Foley group, 91% and 65% perceived those symptoms (P < 0.001 and P < 0.01, respectively). These findings suggest that urethral catheter-free prostatectomy is a good alternative to that with a urethral Foley catheter, and it gives patients an improved quality of early postoperative life.

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Published Evidence Favors the Use of Suprapubic Catheters in Pelvic Colorectal Surgery

Abstract: The results reported favor suprapubic over urethral catheterization in that urinary tract infections are reduced, particularly in females, and the ability to attempt normal voiding is facilitated, particularly in males.

Cited by 44 publications

References 24 publications

A meta-analysis comparing suprapubic and transurethral catheterization for bladder drainage after abdominal surgery

A meta-analysis comparing suprapubic and transurethral catheterization for bladder drainage after abdominal surgery

Neurorehabilitation in multiple sclerosis?what is the evidence-base?

Suprapubic versus transurethral bladder drainage after radical prostatectomy: Impact on patient discomfort

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