A 41-year-old man underwent surgery for treatment of an intervertebral disk hernia and received urethral catheterization at another hospital. After insertion of the catheter, intermittent urethral bleeding occurred. He was brought to our hospital by ambulance because of massive urethral bleeding and urethral pain on the day after the operation. Laboratory tests showed a decrease of hemoglobin, ...

Reducing the risk of healthcare associated infection (HCAI) is a key government target (Department of Health, 2003). Indwelling urethral catheters are one of the most common invasive medical devices used in acute care settings and, consequently, are a frequent cause of HCAI. This article describes 10 key issues and best practice points for practitioners to consider when caring for someone who r...

OBJECTIVE Postoperative urinary retention (POUR) is a common complication after spinal anesthesia. Ultrasound (US) is a simple, non-invasive method to estimate bladder volume before and after surgery. Primary aim of the present study was to investigate utility of bladder volume measured before and after surgery in prediction of POUR risk. Secondary aim was to investigate necessity of urethral c...

BACKGROUND Urethral catheterization is done as a routine procedure in cesarean section. It is associated with high incidence of urinary tract infections, discomfort, delayed ambulation and longer hospital stay. OBJECTIVE To determine the feasibility and safety of cesarean section without urethral catheterization. METHODS A prospective, randomized controlled trial was carried out from April ...

Background: Urinary tract infection (UTI) is the most common hospital acquired infection. The major associated cause is indwelling urinary catheters. Currently there are many types of catheters available. A variety of specialized urethral catheters have been designed to reduce the risk of infection. These include antiseptic impregnated catheters and antibiotic impregnated catheters. Other issue...

PURPOSE We determined by statistical analysis whether method of management is associated with risk of bladder stone formation in spinal cord injured patients. MATERIALS AND METHODS A retrospective cohort study was performed of 457 patients admitted to Stoke Mandeville Hospital Spinal Injuries Center between 1985 and 1990 with more than 6 months of followup. Analysis included Cox regression an...

Routine placement of transurethral catheters can be challenging in some situations, such as urethral strictures, severe phimosis and false passages. Intravaginal retraction of the urethral meatus can complicate Foley placement in postmenopausal females. In men, blind urethral procedures with mechanical or metal sounds without visual guidance or guidewire assistance are now discouraged due to th...