Urinary Bladder Catheter Drainage Following Pelvic Surgery—Is It Necessary for That Long?

2010 ◽  
Vol 53 (3) ◽  
pp. 321-326 ◽  
Author(s):  
Oded Zmora ◽  
Khaled Madbouly ◽  
Hagit Tulchinsky ◽  
Ahmed Hussein ◽  
Marat Khaikin
Keyword(s):  
Urinary Bladder ◽  
Pelvic Surgery ◽  
Catheter Drainage ◽  
Bladder Catheter

scholarly journals Candidemia in an intensive care unit

Medicina ◽  
2008 ◽  
Vol 45 (5) ◽  
pp. 351
Author(s):  
Dalia Adukauskienė ◽  
Aida Kinderytė ◽  
Asta Dambrauskienė ◽  
Astra Vitkauskienė
Keyword(s):  
Intensive Care Unit ◽  
Mechanical Ventilation ◽  
Risk Factor ◽  
Intensive Care ◽  
Urinary Bladder ◽  
Intensive Care Units ◽  
Severe Disease ◽  
Candida Spp ◽  
Lethal Outcome ◽  
Bladder Catheter

Candidemia is becoming more actual because of better survival of even critically ill patients, wide use of antimicrobials, and increased numbers of invasive procedures and manipulations. Diagnosis of candidemia remains complicated, and costs of treatment and mortality rates are increasing. Objective. To evaluate the pathogens of candidemia, risk factors and their influence on outcome. Material and methods. Data of 41 patients with positive blood culture for Candida spp., who were treated in the intensive care units at the Hospital of Kaunas University of Medicine, were analyzed retrospectively. Results. Candidemia was caused by Candida albicans (C. albicans) in 48.8% (n=20) of patients and by non-albicans Candida in 51.2% (n=21) of patients. The main cause of candidemia was C. albicans in 2004 (83.3%, n=5), but in 2005 (63.6%, n=7), in 2006 (57.1%, n=4), and in 2007 (52.9%, n=9), the main cause was non-albicans Candida spp. The number of candidemia cases caused by C. albicans was decreased in 2005, 2006, and 2007 as compared with 2004, and the number of candidemia caused by non-albicans Candida spp. was decreased, respectively (P<0.05). More than 65% (n=34) of patients had severe disease (P<0.05). Lethal outcome was recorded in 58.5% of patients with candidemia. Mechanical ventilation was used in 76.9% (n=20) and urinary bladder catheter in 72.1% (n=19) of non-survivors and in 23.1% (n=6) and 26.9% (n=7) of survivors, respectively (P<0.05). Conclusions. There is an increase in the prevalence of candidemia in the intensive care units during the 4-year period; half of candidemia cases were caused by non-albicans Candida spp., and patients with candidemia caused by non-albicans Candida spp. are at higher risk of mortality. Therefore, for the empirical treatment of septic conditions in an intensive care unit, when invasive fungal infection is suspected, we recommend using an antifungal agent of non-azole class until a pathogen of candidemia is determined. Severe disease is evaluated as a risk factor for candidemia. Patients with oncological diseases are at significantly higher risk for candidemia caused by non-albicans Candida spp. Use of mechanical ventilation and urinary bladder catheter is a risk factor for lethal outcome.

scholarly journals Massive hematuria due to an autogenous saphenous vein graft and urinary bladder fistula in an extra-anatomic iliofemoral bypass: a case report

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Luan Jaha ◽  
Vlora Ismaili-Jaha ◽  
Bekim Ademi ◽  
Fahredin Veselaj ◽  
Destan Kryeziu ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Urinary Bladder ◽  
Reconstructive Surgery ◽  
Vein Graft ◽  
Saphenous Vein Graft ◽  
Pelvic Surgery ◽  
Proximal Anastomosis ◽  
Oncologic Surgery ◽  
Anastomotic Pseudoaneurysm ◽  
Autogenous Vein

Abstract Introduction Gross hematuria caused by rupture of an artery in the urinary tract is a rare but potentially fatal condition. Iliac artery aneurysms, pelvic surgery with radiation, vascular reconstructive surgery, surgery for stenosis of the ureteropelvic junction, and transplantation are reported to be associated with this condition. In the vascular reconstructive surgery group, the most common etiology is rupture of the degenerated artery or synthetic graft in the ureter. Case presentation We present a case of rupture of the small anastomotic pseudoaneurysm at the proximal anastomosis of a right iliofemoral autogenous vein extra-anatomic graft in the urinary bladder. To our knowledge, this is the first report of a rupture of an autogenous vein graft in the urinary bladder. Our patient, a 24-year-old Albanian farmer, was admitted to the emergency department in severe hemorrhagic shock induced by exsanguinating hematuria. He underwent immediate surgery, during which direct sutures to the bladder were placed and the saphenous graft was replaced with a synthetic one. The patient recovered completely, was free of hematuria, and showed no signs of pathological communication between the urinary and arterial tracts on postoperative cystoscopy and computed tomographic angiography during 2 years of follow-up. Conclusion The incidence of artery-to-urinary tract fistulas is growing due to the increasing use of urologic and vascular surgery, pelvic oncologic surgery, and radiation therapy. In addition to fistulas involving a degenerated artery and ureter or synthetic grafts and ureter, they can also involve an autogenous vein graft and the urinary bladder. In our patient, the fistula was a result of erosion of the bladder from a pseudoaneurysm at the proximal anastomosis of an autogenous vein iliofemoral bypass in an extra-anatomic position. Open surgery remains the best treatment option, although there is increasing evidence of successful endovascular treatment.

scholarly journals Encrusted and incarcerated urinary bladder catheter: what are the options?

2010 ◽  
Vol 5 (1) ◽  
pp. 5686 ◽  
Author(s):  
ChristopherC.K. Ho ◽  
Yugasaravanan Khandasamy ◽  
Praveen Singam ◽  
Eng Hong Goh ◽  
ZulkifliM. Zainuddin
Keyword(s):  
Urinary Bladder ◽  
Bladder Catheter

scholarly journals Unusual Complication of Suprapubic Cystostomy in a Male Patient with Tetraplegia: Traction on Foley Catheter Leading to Extrusion of Foley Balloon from Urinary Bladder and Suprapubic Urinary Fistula – Importance of Securely Anchoring Suprapubic Catheter with Adhesive Tape or BioDerm Tube Holder

2007 ◽  
Vol 7 ◽  
pp. 1575-1578 ◽  
Author(s):  
Subramanian Vaidyanathan ◽  
Peter L. Hughes ◽  
Bakul M. Soni
Keyword(s):  
Urinary Bladder ◽  
Anterior Abdominal Wall ◽  
Foley Catheter ◽  
Urethral Catheter ◽  
Adhesive Tape ◽  
Suprapubic Catheter ◽  
Catheter Drainage ◽  
Suprapubic Cystostomy ◽  
Urine Leak

Suprapubic cystostomy is recommended to patients with neuropathic bladder to prevent complications of long-term urethral catheter drainage. We present a 50-year-old male patient with tetraplegia who had long-term urethral catheter drainage. Following flexible cystoscopy, he developed a urine leak from the right side of the scrotum. Suprapubic cystostomy was performed. After suprapubic cystostomy, the urinary fistula healed completely. A follow-up cystourethrogram confirmed an intact urethra with no leak of contrast. Six weeks later, this patient presented with a hole below the suprapubic cystostomy through which a small amount of urine was leaking. A keyhole dressing had been applied around the suprapubic catheter and the catheter was hanging loosely, thus permitting traction on the catheter, especially when the urine bag was full. Computerised tomography of the pelvis showed extrusion of the Foley balloon from the urinary bladder, but the tip of the catheter was still located within the bladder. The extruded catheter was removed and a Foley catheter was inserted, ensuring that the balloon was inflated within the urinary bladder. The suprapubic catheter was secured firmly to the anterior abdominal wall with a BioDerm Tube Holder, thus preventing any traction on the catheter or Foley balloon. The urine leak through the hole below the suprapubic cystostomy stopped and the sinus healed. This case illustrates the need to anchor the suprapubic catheter securely to the anterior abdominal wall with adhesive tape or BioDerm Tube Holder to prevent traction and consequent displacement of the catheter or Foley balloon.

scholarly journals Urinary Ascites: Cryptic Presentation of Unrecognized Urinary Bladder Injury

2012 ◽  
Vol 2 (1) ◽  
pp. 60-62
Author(s):  
Mehruba Alam Ananna ◽  
M Ashrafuddin Ahmed ◽  
WMM Haque ◽  
Ziauddin Ahmed
Keyword(s):  
Urinary Bladder ◽  
Medical Record ◽  
Postoperative Period ◽  
Serum Biochemistry ◽  
Biochemical Changes ◽  
High Index ◽  
Pelvic Surgery ◽  
Bladder Injury ◽  
Urinary Ascites ◽  
High Index Of Suspicion

A case of urinary ascites in a 37-year-old woman caused by an unrecognized bladder injury inflicted during hysterectomy done seven months earlier is presented here. The site of injury was located by conventional retrograde cystography and repaired by laparotomy. The medical record suggesting uneventful peri and postoperative period, absence of expected typical changes in serum biochemistry and the unusual aetilogy of the ascites led to the delay in the diagnosis.The case demonstrates the importance of high index of suspicion of bladder injury following pelvic surgery in patients with ill-defined symptoms and unexplained ascites even in the absence of typical biochemical changes. DOI: http://dx.doi.org/10.3329/birdem.v2i1.12364 Birdem Med J 2012; 2(1) 60-62

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