CRYSTAL ADHERENCE TO URINARY CATHETER MATERIALS IN RATS

Crystal adherence to the surfaces of indwelling urinary catheter materials was investigated by scanning electron microscopy and immunofluorescence method. Small sterile disks were inserted into the rat bladder transvesically. Crystals were frequently associated with fibrillar material, some of which was believed to be fibrin. Increases in fibrillar materials were paralleled by increases in crystal adherence. On the other hand, a decrease in the amount of fibrin adhering to the surfaces of heparinized material, resulting in a decrease in the quantity of encrusting deposits on these materials, was found as compared with other catheter materials, including latex, silicone and nonheparinized material. These findings suggest that early adherence of fibrin to the surfaces of indwelling urinary catheter materials plays an important role in the development of crystal adherence and encrustation on catheter materials. It is also suggested that heparin inhibits the adherence of fibrin, resulting in decreased encrustation on the surfaces of the heparinized material.