TITLE

Retrospective Analysis of Traumatic Bladder Injury: Does Suprapubic Catheterization Alter Outcome of Healing?

AUTHOR(S)
Margolin, Daniel J.; Gonzalez, Richard P.
PUB. DATE
December 2004
SOURCE
American Surgeon;Dec2004, Vol. 70 Issue 12, p1057
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The role of suprapubic catheters in traumatic bladder injuries is not well defined. Current literature suggests that suprapubic catheters are only necessary with large intraperitoneat bladder ruptures. The purpose of this study is to show that all bladder injuries can be managed with transurethral catheterization alone with a similar leak rate, morbidity, and healing time. Retrospective analysis was done of all patients with traumatic bladder injuries at a level I urban trauma center from June 1992 through June 2003. Medical records were reviewed and data analyzed according to type of bladder catheterization (i.e., transurethral or suprapubic). All patients with urethral injuries were excluded. Fifty-six patients met inclusion criteria. Twenty-seven patients suffered penetrating bladder injuries, and 29 bladder injuries were secondary to blunt trauma. Forty-seven patients were treated with transurethral catheter drainage, two were treated with suprapubic catheters, and seven were treated with both transurethral and suprapubic catheters. Forty patients had follow-up cystograms prior to catheter removal. Of the 47 patients treated with transurethral drainage alone, 3 (6%) developed urinary leaks. Of the 9 patients with suprapubic catheters, 2 (22%) developed urinary leaks. The mean time to removal of transurethral catheters was 15 days. The mean time to removal of suprapubic tubes was also 15 days. All study patients successfully healed their bladder injuries regardless of catheterization method. Suprapubic catheter drainage may increase morbidity without improving healing time. These results effectively support the decision to use transurethral catheter drainage alone in all patients with traumatic bladder injuries.
ACCESSION #
15501783

 

Related Articles

  • A valsalvometer can be effective in standardising the Valsalva manoeuvre. H. Greenland; G. Hosker; A. Smith // International Urogynecology Journal;May2007, Vol. 18 Issue 5, p499 

    Abstract  A prospective randomised controlled study was performed in order to study the effectiveness of a device designed to reduce the variability in intra-abdominal pressures generated by individuals performing the Valsalva manoeuvre. One hundred women were recruited to take part in the...

  • Infection control.  // Nursing Standard;10/26/2005, Vol. 20 Issue 7, p62 

    Presents a self-assessment questionnaire to test one's knowledge on urinary catheterization. Complication of long-term catheters; Minimization of the risk of catheter blockage; Promotion of appropriate catheter use.

  • Eustachian valve interfering with transcatheter closure of patent foramen ovale. Roelandt, Philip; Budts, Werner // European Journal of Echocardiography;Jan2008, Vol. 9 Issue 1, p158 

    A prominent Eustachian valve (EV) is a common finding in patients with a patent foramen ovale (PFO). Its presence might compromise transcatheter closure of the PFO.

  • Ureteral Cannulation as a Complication of Urethral Catheterization. Anderson, Bradley W.; Greenlund1, Andrew C. // Korean Journal of Urology;Nov2014, Vol. 55 Issue 11, p768 

    Urinary catheterization is a common procedure, particularly among patients with neurogenic bladder secondary to spinal cord injury. Urethral catheterization is associated with the well-recognized complications of catheter-associated urinary tract infections and limited genitourinary trauma....

  • Suprapubic catheterization: challenges in changing catheters. Robinson, John // British Journal of Community Nursing;Oct2005, Vol. 10 Issue 10, p461 

    Suprapubic catheterization of the bladder is used as a short- or long-term alternative to urethral catheterization. As with any indwelling urinary catheter, correct insertion, care and removal are vitally important to minimize problems. A particular problem that affects suprapubic catheters is...

  • Vapocoolant spray vs subcutaneous lidocaine injection for reducing the pain of intravenous cannulation: a randomized, controlled, clinical trial. Page, D. E.; Taylor, D. McD. // BJA: The British Journal of Anaesthesia;Oct2010, Vol. 105 Issue 4, p519 

    Background: We compared the efficacy, acceptability, and safety of a topical vapocoolant alkane spray and 1% plain s.c. lidocaine in reducing pain from i.v. cannulation.

  • Evaluation of Techniques for Intravenous Catheter and Tubing Fixation. Naimer, Sody Abby; Temira, Feinsilver // Military Medicine;Jan2004, Vol. 169 Issue 1, p79 

    Objective: The aim of this study was to examine two techniques intended to prevent accidental displacement of intravenous catheters after proper establishment of infusion line access. Methods: After catheter insertion and taping in position, fixation with gauze roll sequentially wrapped around...

  • Urinary catheter care. Pomfret, Ian // Nursing & Residential Care;Oct2006, Vol. 8 Issue 10, p446 

    The article focuses on the use of indwelling urinary catheters as a method of management for urinary incontinence. It concentrates on the care of indwelling urinary catheters. The risks of indwelling catheterization are presented. The methods of long-term catheterization are discussed. Good...

  • Discussion 3: Focus on Ventilation. Drs Bancalari; Soll // Journal of Perinatology;May2006 Supplement, Vol. 26, pS43 

    The article presents a discussion among experts regarding the increasing use of high-flow nasal cannula systems for ventilation. Applying nasal cannulas to babies makes sense because it allows them to move. A few trials have shown that it produces some continuous distending airway pressure. But...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics