Safe duration of silicon catheter replacement in urological patients
Ghana med. j
;
57(1): 66-74, 2023. figures, tables
Article
in English
| AIM
| ID: biblio-1427212
ABSTRACT
Objectives:
This study compared the infection rates, degree of encrustation, symptoms, and complications in patients regarding the duration of urethral catheterisation (three weeks, six weeks, and eight weeks).Design:
A cross-sectional study with stratified simple random samplingSetting:
Urology Unit, Korle Bu Teaching HospitalParticipants:
One hundred and thirty-seven male patients with long-term urinary cathetersInterventions:
Participants were grouped into 3 weeks, 6 weeks, and 8 weeks duration of catheter replacementsPrimary outcomesmeasures:
Symptoms due to the urinary catheters, urinalysis, urine and catheter tip cultures, sensitivity, and catheter encrustations were assessed.Results:
Eighty-six patients had a primary diagnosis of benign prostatic hyperplasia (BPH), 35 had urethral strictures,13 had prostate cancer, two had BPH and urethral strictures, and one participant had bladder cancer. There was no difference in the symptoms the participants in the different groups experienced due to the urinary catheters (p > 0.05). The frequency of occurrence of complications (pyuria, p = 0.784; blocked catheter, p=0.097; urethral bleeding, p=0.148; epididymo-orchitis, p=0.769 and bladder spasms, p=1.000) showed no differences in the three groups. There was no statistical difference in the urinalysis for the three groups (p>0.05) and the degree of encrustations (3 weeks 0.03 ± 0.06, 6 weeks 0.11±0.27 and eight weeks 0.12 ±0.27) with p=0.065.Conclusions:
In this study, the duration of urinary catheterisation using silicone Foley's catheters did not influence the complication and symptom rates; hence silicon catheters can be placed in situ for up to 8 weeks before replacement instead of the traditional three-weekly change.
Fulltext
- https://www.ghanamedj.org/articles/March2023/10_Safe%20duration%20of%20silicon%20catheter%20replacement%20in%20urological%20patients%20[35040].pdf
- https://indexmedicus.afro.who.int/iah/fulltext/Safe duration of silicon catheter replacement in urological patients.pdf
- https://fi-admin.bvsalud.org/document/view/rqcm7
Full text:
Available
Index:
AIM (Africa)
Main subject:
Prostatic Hyperplasia
/
Prostatic Neoplasms
/
Urinary Bladder Neoplasms
Type of study:
Observational study
/
Prevalence study
/
Risk factors
Limits:
Humans
Language:
English
Journal:
Ghana med. j
Year:
2023
Type:
Article
Institution/Affiliation country:
Department of Pathology, University of Ghana Medical School/GH
/
Department of Surgery, Korle Bu Teaching Hospita/GH
/
Department of Surgery, Korle Bu Teaching Hospital/GH
/
Department of Surgery, School of Medicine/GH
/
John Radcliffe Hospital/GB
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