Formation of bladder stone in repaired case of bladderexstrophy is reported to be around 15%. Formation of stone in urethra is rare accounting for less than 0.3% of cases. We report one such case of penile urethral stone presenting 7 years after bladderexstrophy repair. Stone was removed by urethrotomy and urethroplasty was done over Foley’s catheter. Patient developed urethro-cutaneous fistula...

INTRODUCTION Leakage of urine around a catheter is not uncommon in spinal cord injury patients, who have indwelling urethral catheter. Aetiological factors for leakage of urine around a catheter are bladder spasms, partial blockage of catheter, constipation, and urine infection. Usually, leakage of urine subsides when the underlying cause is treated. Leakage of urine around a suprapubic cathete...

Indwelling urethral catheters are the most common cause of urinary tract infections (UTI), yet there is no direct evidence that technique of catheter insertion affects this. In a prospective study, 156 patients underwent preoperative urethral catheterisation, randomly allocated to 'sterile' or 'clean/non-sterile' technique groups. There was no statistical difference between the two groups with ...

INTRODUCTION Suprapubic catheterization (SPC) is a routine procedure done in general and urological practice, where per urethral catheterization is not possible (urethral stricture, injury, vulvar carcinoma) or when we require long term alternative drainage (neurogenic bladder trauma to lower urinary tract or prostate abscess). The procedure is simple but blind one, and has the potential to inj...

We surveyed the extensive literature regarding the development, therapy and prevention of catheter-associated urinary tract infections (UTIs). We systematically searched for meta-analyses of randomised controlled trials available in Medline giving preference to the Cochrane Central Register of Controlled Trials and also considered other relevant publications, rating them on the basis of their q...

Poorly managed traumatic bulbomembranous urethral strictures could have a devastating effect on the quality of life. Until recently this problem was poorly managed in Sri Lanka, condemning some patients to lifelong suffering with unsettled lower urinary tract obstructive symptoms and infective complications. The commonest primary injury is pelvic fracture. A complete urethral rupture associated...

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 ...

PURPOSE The clinical usefulness of hyaluronic acid (HA) instillation during visual internal urethrotomy (VIU) for decreasing the incidence of recurrent urethral stricture was assessed. MATERIALS AND METHODS Twenty-eight patients were treated by VIU with HA instillation between May 2007 and June 2009. After insertion of a Foley catheter following urethrotomy, HA was instilled via an 18-gauge t...

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 To determine the prevalence of different approaches to the difficult urethral catheterization (DUC) among urology residents (UR) in the United States (US). MATERIALS AND METHODS An email invitation to participate in an online survey regarding DUC was sent to 267 UR and to 22 urology program coordinators for them to forward to their residents. 142 UR completed the survey. RESULTS Aft...