From indwelling Foley to fail-safe voiding: Proposed changes in design and thinking

2020 ◽  
pp. 205141582097040
Author(s):  
John CD Gration
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Retention ◽  
Perioperative Management ◽  
Urethral Catheter ◽  
Urethral Injury ◽  
Effective Part ◽  
Fail Safe ◽  
Iatrogenic Conditions

The Foley indwelling urethral catheter (IDC) has been an effective part of the clinician’s armoury for more than 80 years. It meets wide clinical needs, such as overcoming urinary retention for men and perioperative management, but its use risks the major iatrogenic conditions of catheter-associated urinary tract infection and urethral injury (CAUI) – the latter mainly in men. This article focuses on CAUI, examines some factors contributing to these risks, makes suggestions for design solutions which may help tackle them and invites collaboration to develop more effective and fail-safe IDC or voiding solutions.

Risk Factors for Postoperative Urinary Tract Infection and Urinary Retention in Patients Undergoing Surgery for Colorectal Cancer

2012 ◽  
Vol 78 (10) ◽  
pp. 1100-1104 ◽  
Author(s):  
Celeste Y. Kang ◽  
Obaid O. Chaudhry ◽  
Wissam J. Halabi ◽  
Vinh Nguyen ◽  
Joseph C. Carmichael ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Risk Factors ◽  
Urinary Tract Infection ◽  
Logistic Regression ◽  
Urinary Tract ◽  
Tract Infection ◽  
Hospital Mortality ◽  
Urinary Retention ◽  
Surgical Patients ◽  
Independent Risk Factors

The aim of this study was to analyze risk factors for postoperative urinary tract infection (UTI) and urinary retention (UR) in patients with colorectal cancer. Using Nationwide Inpatient Sample 2006–2009, a retrospective analysis of surgical patients with colorectal cancer was conducted. Patients were stratified into groups, with or without UTI/UR. The LASSO algorithm for logistic regression identified independent risk factors. A total of 93,931 surgical patients with colorectal cancer were identified. The incidences of UTI and UR were 5.91 and 2.52 per cent, respectively. Overall in-hospital mortality was 2.68 per cent. The UTI group demonstrated significantly higher in-hospital mortality rates compared with those without. Both UTI and UR groups were associated with prolonged hospital stay and increased hospital charge. Multivariate logistic regression analysis revealed age older than 60 years, females, anemia, congestive heart failure, coagulopathy, diabetes with chronic complications, fluid and electrolyte, paralysis, pulmonary circulation disorders, renal failure, and weight loss were independent risk factors of UTI. Age older than 60 years, male gender, rectal and rectosigmoid cancers, and postoperative anastomotic leakage and ileus were independent risk factors for UR. Postoperative UTI increases in-house mortality. Postoperative UTI/UR in patients with colorectal cancer increases length of stay and hospital charges. Knowledge of these specific risk factors for UTI and UR is needed to counsel patients and prevent these complications in this high-risk population.

Hyperammonemic encephalopathy caused by urinary tract infection with urinary retention

2008 ◽  
Vol 19 (8) ◽  
pp. e78-e79 ◽  
Author(s):  
Shoichiro Sato ◽  
Chiaki Yokota ◽  
Kazunori Toyoda ◽  
Masaki Naganuma ◽  
Kazuo Minematsu
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Retention ◽  
Hyperammonemic Encephalopathy

scholarly journals A randomized controlled trial comparing short-term versus long-term catheterization after vaginal prolapse surgery

1970 ◽  
Vol 2 (1) ◽  
pp. 29-34 ◽  
Author(s):  
Nupur Thakur ◽  
Geeta Gurung ◽  
Ashma Rana
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Retention ◽  
Vaginal Hysterectomy ◽  
Residual Volume ◽  
Short Term ◽  
Group 2 ◽  
Group 1

Aim: To determine whether short term bladder catheterisation for 24 hrs after vaginal hysterectomy for prolapse would be more advantageous to routinely practiced 3 days catheterisation. Method: Randomized comparative study was done as thesis topic in Gynaecological Ward of TU Teaching Hospital, Maharajgunj, Kathmandu from 30th October 2004 to 2nd November 2005. A total of 100 women were included in this study. Prior to surgery at OT table, and before giving prophylactic antibiotics urine samples were collected from metal catheter for routine analysis. They were randomized into two groups. In groups 1 (n=50) transurethral catheter was removed after 24 hrs of surgery. In group 2 (n=50) catheter was removed on 3rd post operative day. Urine culture was taken before removal of the catheter. Residual volume of urine after the first voiding was measured by transabdominal ultrasound. Recatheterisation for three more days was considered whenever residual volume exceeded 200ml. Result: Recatheterisation was not needed in either groups for residual volume >200ml. Regarding recatheterisation 4 needed them after 2-3 hrs of first voiding. Among these 4 women, cause of urinary retention was accountable for pelvic haematoma leading to pelvic abscess in one case, which belonged to group 1 where as urinary tract infection was responsible for urinary retention in group 2. There were no explainable causes in two cases. But urinary tract infection was seen in two cases in group 1 and 11 cases in group 2 (P value 0.017). Conclusion: This study has shown that short term catheterisation is more beneficial in terms of lower incidence of urinary tract infection (2 Vs 11) and related febrile morbidity as compared to long term catheterisation. Key words: Uterovaginal prolapse, pelvic floor repair with vaginal hysterectomy, catheterisation.   doi:10.3126/njog.v2i1.1473 N. J. Obstet. Gynaecol Vol. 2, No. 1, p. 29 - 34 May -June 2007

scholarly journals Epstein–Barr Virus-induced Meningitis-Retention Syndrome

2020 ◽  
Author(s):  
Morika Suzuki ◽  
Genya Watanabe ◽  
Takashi Watari
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Retention ◽  
Aseptic Meningitis ◽  
Epstein Barr Virus ◽  
Rare Disorder ◽  
Meningeal Irritation ◽  
Barr Virus ◽  
Epstein Barr

Meningitis-retention syndrome (MRS) is a rare disorder where aseptic meningitis is accompanied by urinary retention, which can be easily misdiagnosed as urinary tract infection. We present the case of a 55-year-old man with fever and dysuria. At the time of hospitalization, the patient had no symptoms of meningitis, but signs of meningeal irritation appeared later during the course of the disease. Investigation revealed that this was a case of MRS due to Epstein–Barr virus. We have to consider MRS when examining patients with fever and urinary retention, as dysuria may precede meningitis symptoms.

Intravenous infusion of a 40% solution of urotropine. Goetz (Znbl. f. Gyn., 1923, No. 8)

1923 ◽  
Vol 19 (4) ◽  
pp. 97-97
Author(s):  
A. Timofeev
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Retention ◽  
Intravenous Infusion ◽  
Postoperative Urinary Retention

Intravenous infusion of 40% urotropine solution is recommended by Goetz as a means of preventing postoperative urinary tract infection and postoperative urinary retention.

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