Urethral Catheter Insertion Research Articles

A revised guide-wire technique for urethral catheter insertion.

A revised guide-wire technique for urethral catheter insertion.

Clinical research on skills of slow urethral catheterization for old males

目的 探讨导尿管插入速度与一次插管成功及病人反应之间的关系.方法98例老年男性留置尿管病人,按自然排序随机分成2组,分别采用缓速和快速插管法插尿管,记录插尿管所需时间及一次插管成功与否,观察病人反应.结果缓速插管法和快速插管法所需时间分别为(28.0±2.0)s、(14.0±2.2)s;缓速插管法和快速插管法一次插管成功分别为46,37例.2组的插管时间、一次成功率和病人反应经比较P＜0.05或P＜0.01,差异有统计学意义.结论缓速插管法优于快速插管法。

Allergic Reaction after the Insertion of a Latex Urethral Catheter: A case report

Natural rubber latex is a processed plant product that is manufactured from the rubber tree, Hevea braziliensis. Allergy to natural rubber latex, which contains a complex blend of water-soluble plant proteins, is a major source of concern in clinical practice. Latex is the inciting factor in at least 10 percent of anaphylactic reactions that have been reported during anesthesia. IgE-mediated sensitization to natural rubber latex could induce hypersensitivity reactions ranging from mild contact urticaria to potentially life-threatening anaphylaxis. Because of the ubiquitous use of latex in medical equipment and devices, anesthesiologist should give more attention and to the management of the allergic reactions to latex in high risk groups. We report upon the anesthetic management of a parturient undergoing Cesarean section, in which an allergic reaction to latex developed just after the insertion of latex urethral catheter.

THE IMPACT OF PROSTATE BIOPSY ON PATIENT WELL-BEING: A PROSPECTIVE STUDY OF VOIDING IMPAIRMENT

We studied the possible association of transrectal ultrasound guided prostate biopsy with voiding impairment. A total of 211 consecutive patients were prospectively enrolled. International Prostate Symptom Score (I-PSS), subjective voiding complaints and retention were recorded in 3 personal interviews before biopsy, and on postoperative days 7 and 30. Of the 204 patients who voided via the urethra at biopsy 52 (25%) reported subjective voiding impairment on postoperative day 7, including 12% who defined difficult voiding as mild-1 to 2 points on a 0 to 5 scale, 8% as moderate-3/5 and 5% as severe-4 to 5/5. In 5 of the latter cases (2.5%) acute urinary retention necessitated urethral catheter insertion. Transition zone volume, which was 42 ml. or larger in all patients in urinary retention, was the only independent variable associated with patient report of subjective difficult voiding and acute urinary retention during week 1 after biopsy (p = 0.03). Baseline I-PSS greater than 20 points indicated a risk of an acute transient increase in I-PSS on postoperative day 7. Transient voiding impairment may be precipitated by ultrasound guided prostate biopsy. To decrease this morbidity appropriate evaluation and possible treatment for bladder outlet obstruction are justified in patients with a larger transition zone and in those with preoperative baseline I-PSS greater than 20 points.