OPTIMUM METHOD FOR URINARY DRAINAGE IN MAJOR ABDOMINAL-SURGERY - A PROSPECTIVE RANDOMIZED TRIAL OF SUPRAPUBIC VERSUS URETHRAL CATHETERIZATION

被引:45
作者
OKELLY, TJ [1 ]
MATHEW, A [1 ]
ROSS, S [1 ]
MUNRO, A [1 ]
机构
[1] UNIV GLASGOW, DEPT GEN PRACTICE, GLASGOW G61 1BD, LANARK, SCOTLAND
关键词
D O I
10.1002/bjs.1800821024
中图分类号
R61 [外科手术学];
学科分类号
摘要
The outcome of suprapubic and urethral catheterization in abdominal surgery was compared in a prospective randomized trial. Twenty-eight patients received a suprapubic and 29 a urethral catheter. The groups were similar in terms of age, sex, operation performed and postoperative analgesia. There was no difference in the duration of catheterization (suprapubic: median 5 (range 4-10) days; urethral: median 4 (range 2-11) days). Urinary sepsis occurred in three patients in each group. Urethral catheters caused pain in significantly more patients (urethral 13; suprapubic two; chi(2) = 8.6, 1 d.f. P < 0.01), on more days (suprapubic: 6 of 142 catheter days; urethral: 37 of 126 catheter days; chi(2) = 29.5, 1 d.f. P < 0.001). Two men with urethral catheters and one with a suprapubic catheter failed to void urethrally when required to do so. Suprapubic catheterization is the method of choice for urinary drainage when this is required in abdominal surgery.
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页码:1367 / 1368
页数:2
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