Suprapubic versus transurethral catheterisation of males undergoing pelvic colorectal surgery

被引:37
作者
Ratnaval, CD [1 ]
Renwick, P [1 ]
Farouk, R [1 ]
Monson, JRT [1 ]
Lee, PWR [1 ]
机构
[1] UNIV HULL,CASTLE HILL HOSP,ACAD SURG UNIT,COTTINGHAM HU16 5JQ,N HUMBERSIDE,ENGLAND
关键词
D O I
10.1007/s003840050038
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
A prospective, randomised double-blind trial of suprapubic (SPC) versus transurethral (TUG) catheterisation was undertaken in fifty consecutive male patients of median age 66 (range 32-81) years undergoing pelvic colorectal surgery. Twenty-four patients were randomised to SPC. Catheter removal times were comparable between the two groups: SPC = mean 7.2 (3-14) days; TUC = mean 7.5 (2-13) days; P>0.5. Acute urinary retention was recorded in 5 patients with SPC and 6 in the TUC group. Chronic retention with overflow was recorded in one TUC patient. Frequent voiding after catheter removal occurred in two SPC, and in eleven TUC patients (P<0.05). Re-catheterization was required in two SPC, and seven TUC patients. One culture positive urinary tract infection occurred in the SPC, and three in the TUC groups. It is concluded that suprapubic catheterisation allows comparable controlled return of normal voiding with fewer bladder and urethral symptoms when compared with transurethral catheterisation.
引用
收藏
页码:177 / 179
页数:3
相关论文
共 11 条
[1]  
BARTIZAL J, 1977, SURG CLIN N AM, P1259
[2]   ADVANTAGES AND DRAWBACKS OF TRANS-URETHRAL AND SUPRAPUBIC URINARY DRAINAGE FOLLOWING GYNECOLOGICAL OPERATIONS [J].
BECKER, R ;
MOLTZ, L .
GEBURTSHILFE UND FRAUENHEILKUNDE, 1984, 44 (09) :587-590
[4]   RISK-FACTORS FOR DEVELOPING VOIDING DYSFUNCTION AFTER ABDOMINO-PERINEAL RESECTION FOR ADENOCARCINOMA OF THE RECTUM [J].
BURGOS, FJ ;
ROMERO, J ;
FERNANDEZ, E ;
PERALES, L ;
TALLADA, M .
DISEASES OF THE COLON & RECTUM, 1988, 31 (09) :682-685
[5]   SUPRAPUBIC BLADDER DRAINAGE IN COLORECTAL SURGERY [J].
CHRISTENSEN, PB ;
KRONBORG, O .
BRITISH JOURNAL OF SURGERY, 1981, 68 (05) :348-349
[6]   INCIDENCE AND CONSEQUENCES OF DAMAGE TO PARASYMPATHETIC NERVE SUPPLY TO BLADDER AFTER ABDOMINOPERINEAL RESECTION OF RECTUM FOR CARCINOMA [J].
FOWLER, JW ;
BREMNER, DN ;
MOFFAT, LEF .
BRITISH JOURNAL OF UROLOGY, 1978, 50 (02) :95-98
[7]  
GUAM LD, 1982, SURG CLIN N AM, V62, P1075
[8]   PROSPECTIVE RANDOMIZED CONTROLLED TRIAL OF URETHRAL VERSUS SUPRAPUBIC CATHETERIZATION [J].
SETHIA, KK ;
SELKON, JB ;
BERRY, AR ;
TURNER, CM ;
KETTLEWELL, MG ;
GOUGH, MH .
BRITISH JOURNAL OF SURGERY, 1987, 74 (07) :624-625
[9]  
SHAPIRO J, 1982, ACTA CHIR SCAND, V148, P323
[10]   THE UROLOGICAL COMPLICATIONS OF EXCISION OF THE RECTUM [J].
WATSON, PC ;
WILLIAMS, DI .
BRITISH JOURNAL OF SURGERY, 1952, 40 (159) :19-28