Prospective randomised trial of two devices for suprapubic catheterisation in general surgical patients.
Compared with urethral catheterisation, suprapubic catheterisation is associated with a reduced incidence of urinary infection and urethral stricture and it facilitates a controlled trial of micturition. A prospective comparison of two types of suprapubic catheter was performed in 70 patients, using a specially designed catheter mounted on a trocar for insertion (Suprapubic Ingram Trocar), and a disposable trocar and cannula (Add-a-Cath) and standard Foley catheter. A suprapubic catheter was inserted successfully in 63 patients. Overall there was a low incidence of urinary tract infection (4.3%) and the only significant catheter-related problem was suprapubic leakage of urine, which was self-limiting in all but one patient. Although there is little objective difference between the systems tested, we prefer the Add-a-Cath system for its simplicity and economy. This trial provides further support for the more frequent use of suprapubic catheters in general surgical practice.
Carty
N J
NJ
University Surgical Unit, Royal South Hants Hospital, Southampton.
Yap
J
J
Johnson
C D
CD
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D003365:Costs and Cost Analysis; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D013514:Surgical Procedures, Operative; D014546:Urinary Catheterization / Q000191:economics / Q000295:instrumentation* / Q000379:methods; D014552:Urinary Tract Infections / Q000517:prevention & control