Urethral strictures and aortic surgery. Suprapubic rather than urethral catheters.
Urethral strictures associated with the use of a urethral catheter may be more common after cardiac and aortic surgery when compared with other surgical procedures. The reasons for this are obscure. Fifty-two aortic procedures in males from 1980-1983 were reviewed with an incidence of urethral stricture of 21%. Forty anterior resections of the rectum in which a urethral catheter was used were also reviewed with an incidence of urethral stricture of only 5%. Since 1985 supra-pubic catheters have been used now in over 200 aortic procedures with no morbidity and no urethral stricture. Bacteriuria has been significantly reduced by the use of supra-pubic catheters and there would appear to be considerable advantages in the use of this technique.
Dinneen
M D
MD
Department of Surgery, Colchester General Hospital, Essex, U.K.
Wetter
L A
LA
May
A R
AR
D000368:Aged; D000369:Aged, 80 and over; D001011:Aorta / Q000601:surgery*; D001437:Bacteriuria / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D014525:Urethral Stricture / Q000209:etiology*; D014546:Urinary Catheterization / Q000009:adverse effects* / Q000379:methods