Suprapubic Versus Transurethral Bladder Drainage After Colposuspension/Vaginal Repair

Andersen, Jens T.; Heisterberg, Lars; Hebjorn, S; Petersen, Karsten; Sørensen, Steen; Fischer-Rasmussen, Wiggó; Pedersen, L. Moisted; Nielsen, Niklas

doi:10.3109/00016348509154707

Cited by 96 publications

(43 citation statements)

References 5 publications

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“…The limited data available suggest that suprapubic catheters, external catheters (in men), and intermittent catheterization may be associated with lower rates of bacteriuria, UTI, or both than intra-urethral catheters. 52,[66][67][68][69] Of course, in both geriatric patients and individuals with SCI, the patient's functional status often influences the type of bladder management, so randomized comparisons of these various drainage methods are not possible. 50,70,71 Strategies effective only for short-term catheterization Although changing catheter materials to render the catheter surface inhospitable to biofilm formation is a clever idea, this approach is effective for prevention of UTI only in the setting of short-term catheterization.…”

Section: Possibly Effective Strategiesmentioning

confidence: 99%

Role of biofilm in catheter-associated urinary tract infection☆

Trautner

Darouiche

2004

American Journal of Infection Control

354

263

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The predominant form of life for the majority of microorganisms in any hydrated biologic system is a cooperative community termed a "biofilm." A biofilm on an indwelling urinary catheter consists of adherent microorganisms, their extracellular products, and host components deposited on the catheter. The biofilm mode of life conveys a survival advantage to the microorganisms associated with it and, thus, biofilm on urinary catheters results in persistent infections that are resistant to antimicrobial therapy. Because chronic catheterization leads almost inevitably to bacteriuria, routine treatment of asymptomatic bacteriuria in persons who are catheterized is not recommended. When symptoms of a urinary tract infection develop in a person who is catheterized, changing the catheter before collecting urine improves the accuracy of urine culture results. Changing the catheter may also improve the response to antibiotic therapy by removing the biofilm that probably contains the infecting organisms and that can serve as a nidus for reinfection. Currently, no proven effective strategies exist for prevention of catheter-associated urinary tract infection in persons who are chronically catheterized.Health care providers have traditionally envisioned bacteria in their free-floating or planktonic state, and planktonic organisms have been the focus of traditional microbiologic methods of sampling and culture. 1 However, the predominant form of life for the majority of microorganisms in any hydrated biologic system, such as the human body, is a cooperative community termed a "biofilm." 2 A formal definition of biofilm includes 3 components: (1) adherence of the microorganisms, either to a surface or to each other; (2) a change in gene expression resulting in a different phenotype from the planktonic state; and (3) an extracellular matrix composed of host components and secreted bacterial products. 3,4 A functional definition of biofilm also includes the fact that biofilm results in chronic, persistent infections that are difficult to eradicate with antimicrobial therapy. 5 The relevance of biofilm to catheter-associated urinary tract infection (UTI) (CAU-TI) is that a foreign body, such as an indwelling urethral catheter, connecting a normally sterile, hydrated body site to the outside world will inevitably become colonized with microorganisms. 4 Thus, the central character in the story of CAUTI is really the biofilm on the urinary catheter. PATHOGENESIS OF URINARY CATHETER-ASSOCIATED BIOFILMThe pathogenesis of CAUTI is related to the susceptibility of inert catheter material to microbial colonization. On the surface of normal bladder mucosa, binding of bacteria triggers an NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript inflammatory response that results in an influx of neutrophils and sloughing of epithelial cells with bound bacteria. [6][7][8][9] Both processes contribute to clearance of the bacteria from the mucosal surface. In contrast, catheter surfaces have no inherent defense mechani...

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Section: Possibly Effective Strategiesmentioning

confidence: 99%

Role of biofilm in catheter-associated urinary tract infection☆

Trautner

Darouiche

2004

American Journal of Infection Control

354

263

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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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“…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%

An Unusual Case of Severe Haemorrhage and Small Bowel Injury Following Percutaneous Suprapubic Catheter Insertion

Verwey¹

2012

World J Nephrol Urol

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Suprapubic catheterisation is a useful alternative to urethral catheterisation but it carries potentially serious complications, including bowel injury and infection. We present a case of severe intraabdominal haemorrhage following a suprapubic catheter insertion using the Seldginger technique. The patient's risk of complications was increased by a previous hysterectomy. This case demonstrates the use of ultrasound guidance during suprapubic catheterisation in high risk patients, such as those with previous abdominal or pelvic surgery.

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Suprapubic Versus Transurethral Bladder Drainage After Colposuspension/Vaginal Repair

Cited by 96 publications

References 5 publications

Role of biofilm in catheter-associated urinary tract infection☆

Role of biofilm in catheter-associated urinary tract infection☆

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

An Unusual Case of Severe Haemorrhage and Small Bowel Injury Following Percutaneous Suprapubic Catheter Insertion

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