Prospective evaluation of combined suprapubic and urethral catheterization to urethral drainage alone for intraperitoneal bladder injuries.
BACKGROUND
The role of suprapubic catheterization after repair of intraperitoneal bladder injury is controversial and has been found to be superfluous in retrospective studies. We sought to evaluate bladder drainage prospectively.


METHODS
Patients were prospectively enrolled and were assigned to suprapubic catheter drain after bladder repair or urethral catheter alone determined by the unit admitting the patient. Factors that were evaluated were associated injuries, hospital stay, duration of catheterization, and catheter-related complications.


RESULTS
There were 42 patients: there were 39 male patients, and the mean age was 29.6 years. The patients were matched for age and associated injuries. The morbidity (p = 0.004) and hospital stay (p = 0.028) were significantly higher in the suprapubic drainage group.


CONCLUSIONS
Urethral catheterization is adequate to effect bladder drainage after intraperitoneal bladder injury. In addition, it is associated with a shorter hospital stay and lower morbidity.
Alli
Mohammad Ozair
MO
Department of Surgery, Faculty of Health Sciences, Nelson R Mandela School of Medicine, Congella, South Africa.
Singh
Bhugwan
B
Moodley
Jaynathan
J
Shaik
Abdool Samad
AS
D000293:Adolescent; D000328:Adult; D002408:Catheters, Indwelling / Q000009:adverse effects / Q000592:standards; D015984:Causality; D003559:Cystostomy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D004322:Drainage / Q000295:instrumentation / Q000379:methods* / Q000592:standards; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D009104:Multiple Trauma / Q000401:mortality / Q000601:surgery; D011182:Postoperative Care / Q000379:methods; D011446:Prospective Studies; D013019:South Africa / Q000453:epidemiology; D013997:Time Factors; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000293:injuries* / Q000601:surgery*; D014546:Urinary Catheterization / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*