[Urethral strictures after extracorporeal bypass: suprapubic or transurethral catheter?].
Patients undergoing open heart surgery with the use of extracorporeal circulation (ECC) are at increased risk of developing a urethral stricture. Possible etiologic factors are ischemia and local pressure of an indwelling catheter during ECC. In a retrospective analysis, we compared 152 patients who have been treated with an indwelling urethral catheter during ECC with 148 patients who have been treated with suprapubic urinary drainage. 10 (6.6%) of the patients in the indwelling catheter group developed a urethral stricture as compared to none in the suprapubic group. It is concluded that the risk of developing a urethral stricture following operation with the use of ECC is significantly reduced with a suprapubic urinary drainage.
Buchholz
N P
NP
Urologische Klinik, Kantonsspital, Basel.
Gasser
T C
TC
D002408:Catheters, Indwelling; D003559:Cystostomy / Q000295:instrumentation*; D005112:Extracorporeal Circulation; D005260:Female; D005500:Follow-Up Studies; D006331:Heart Diseases / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D012189:Retrospective Studies; D012307:Risk Factors; D014525:Urethral Stricture / Q000209:etiology*; D014546:Urinary Catheterization / Q000295:instrumentation*
Urethrastrikturen nach extrakorporalem Bypass: suprapubischer oder transurethraler Katheter?