title: An audit of problems associated with urinary catheter withdrawal.
abstract: Long-term catheterisation is associated with many complications, including urinary tract infections which may lead to encrustation and catheter blockage. Current management of catheters susceptible to frequent blocking is to attempt to prolong catheter life by using bladder maintenance solutions or to change catheters proactively by identifying a characteristic blocking pattern for the patient. However, catheter removal is associated with a number of problems. This article describes an audit conducted in one trust to identify the types of catheter material associated with removal difficulties. All-silicone catheters appeared to have a higher incidence of reported problems. The formation of a 'cuff' in all-silicone catheters when the catheter balloon fails to deflate to its original shape has been investigated as an important factor in difficult removal. The audit also examined what action was taken when nurses were unable to remove a catheter.
authors.affiliation: Urology Department, Southmead Hospital, Westbury on Trym, Bristol.
authors.forename: A
authors.initials: A
authors.lastname: Evans
authors.forename: H
authors.initials: H
authors.lastname: Godfrey
authors.forename: L
authors.initials: L
authors.lastname: Fraczyk
mesh_terms: D002408:Catheters, Indwelling / Q000009:adverse effects; D004739:England; D004867:Equipment Design; D005260:Female; D006801:Humans; D020136:Hydrogel, Polyethylene Glycol Dimethacrylate; D008297:Male; D009731:Nursing Audit; D011138:Polytetrafluoroethylene; D012828:Silicones; D014546:Urinary Catheterization / Q000009:adverse effects* / Q000295:instrumentation / Q000451:nursing
chemical_list: D012828:Silicones; D020136:Hydrogel, Polyethylene Glycol Dimethacrylate; D011138:Polytetrafluoroethylene