Urethral (indwelling or intermittent) or suprapubic routes for short-term catheterisation in hospitalised adults

Kidd, Emily A; Stewart, Fiona; Kassis, Nadine C.; Hom, Emily; Omar, Muhammad Imran

doi:10.1002/14651858.cd004203.pub3

Cited by 47 publications

(46 citation statements)

References 59 publications

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“…Thus, catheter implantation, although it may lead to histological changes in the bladder wall, seems not to systematically alter bladder function in rats so that urodynamic measurements closely represent daily bladder function. Clinical data of indwelling suprapubic catheters, a comparable situation for the bladder, support findings of our animal study underlying the truly translational approach of the urodynamic model in fully awake animals after chronic catheter implantation.…”

Section: Discussionsupporting

confidence: 76%

Urodynamic measurements reflect physiological bladder function in rats

Schneider

Sartori

Tampé

et al. 2017

Neurourology and Urodynamics

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Lower urinary tract function assessed by metabolic cage or by urodynamic meaurements in fully awake rats was indistinguishable. Thus, catheter implantation did not significantly change physiological bladder function. This shows that urodynamic measurements in awake animals are an appropriate approach to study lower urinary tract function in health and disease in animal models, directly paralleling the human diagnostic procedures.

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Section: Discussionsupporting

confidence: 76%

Urodynamic measurements reflect physiological bladder function in rats

Schneider

Sartori

Tampé

et al. 2017

Neurourology and Urodynamics

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“…SPC appears to safeguard against some of the potential complications of urethral catheterization such as UTI and urethral stenosis, allowing assessment of spontaneous voiding and avoiding recatheterization after a failed attempt [44]. Although it has been suggested that SPC might be associated with lower rates of UTI and urethral stricture formation, less patient discomfort, and easier management, a Cochrane SR failed to demonstrate a lower risk of symptomatic UTIs with use of SPC [49]. A 3-d rather than a 7-d period of catheterization after a first episode of AUR in addition to a1-blocker treatment should be preferred, since longer catheterization time increases complication rates without significantly increasing TWOC success [32].…”

Section: Discussionmentioning

confidence: 99%

Management of urinary retention in patients with benign prostatic obstruction: A systematic review and meta-analysis

Karavitakis¹,

Kyriazis²,

Omar³

et al. 2019

European Urology Supplements

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E U R O P E A N U R O L O G Y X X X ( 2 0 1 8 ) X X X -X X X a v a i l a b l e a t w w w . s c i e n c e d i r e c t . c o m j o u r n a l h o m e p a g e : w w w . e u r o p e a n u r o l o g y . c o m AbstractContext: Practice patterns for the management of urinary retention (UR) secondary to benign prostatic obstruction (BPO; UR/BPO) vary widely and remain unstandardized. Objective: To review the evidence for managing patients with UR/BPO with pharmacological and nonpharmacological treatments included in the European Association of Urology guidelines on non-neurogenic male lower urinary tract symptoms. Evidence acquisition: Search was conducted up to April 22, 2018, using CENTRAL, MEDLINE, Embase, ClinicalTrials.gov, and World Health Organization International Clinical Trials Registry Platform. This systematic review included randomized controlled trials (RCTs) and prospective comparative studies. Methods as detailed in the Cochrane handbook were followed. Certainty of evidence (CoE) was assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. Evidence synthesis: Literature search identified 2074 citations. Twenty-one studies were included (qualitative synthesis). The evidence for managing patients with UR/ BPO with pharmacological or nonpharmacological treatments is limited. CoE for most outcomes was low/very low. Only a1-blockers (alfuzosin and tamsulosin) have been evaluated in more than one RCT. Pooled results indicated that a1-blockers provided significantly higher rates of successful trial without catheter compared with placebo [alfuzosin: 322/540 (60%) vs 156/400 (39%) (odds ratio {OR} 2.28, 95% confidence interval {CI} 1.55 to 3.36; participants = 940; studies = 7; I 2 = 41%; low CoE); tamsulosin: 75/158 (47%) vs 40/139 (29%) (OR 2.40, 95% CI 1.29 to 4.45; participants = 297; studies = 3; I 2 = 30%; low CoE)] with rare adverse events. Similar rates were achieved with tamsulosin or alfuzosin [51/87 (59%) vs 45/84 (54%) (OR 1.28, 95% CI 0.68 to 2.41;

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“…A recent systematic review including 42 trials indicated an advantage on suprapubic catheterization in terms of asymptomatic bacteriuria and pain compared to the urethral catheterization [ 13 ]. To our knowledge, UC was traditionally used in RP not only for the drainage of bladder but also for protecting the anastomosis and promoting healing.…”

Section: Discussionmentioning

confidence: 99%

Suprapubic tube versus urethral catheter drainage after robot-assisted radical prostatectomy: a systematic review and meta-analysis

et al. 2018

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BackgroundProstate cancer is one of the most common cancers in the elderly population. The standard treatment is radical prostatectomy (RARP). However, urologists do not have consents on the postoperative urine drainage management (suprapubic tube (ST)/ urethral catheter (UC)). Thus, we try to compare ST drainage to UC drainage after robot-assisted radical prostatectomy regarding to comfort, recovery rate and continence using the method of meta-analysis.MethodsA systematic search was performed in Dec. 2017 on PubMed, Medline, Embase and Cochrane Library databases. The authors independently reviewed the records to identify studies comparing ST with UC of patients underwent RARP. Meta-analysis was performed using the extracted data from the selected studies.ResultsSeven studies, including 3 RCTs, with a total of 946 patients met the inclusion criteria and were included in our meta-analysis. Though there was no significant difference between the ST group and the UC group on postoperative pain (RR1.73, P 0.20), our study showed a significant improvement on bother or discomfort, defined as trouble in hygiene and sleep, caused by catheter when compared two groups at postoperative day (POD) 7 in ST group (RR2.05, P 0.006). There was no significant difference between the ST group and UC group on urinary continence (RR0.98, P 0.74) and emergency department visit (RR0.61, P 0.11). The rates of bladder neck contracture and other complications were very low in both groups.ConclusionCompared to UC, ST showed a weak advantage. So it might be a good choice to choose ST over RARP.

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Urethral (indwelling or intermittent) or suprapubic routes for short-term catheterisation in hospitalised adults

Cited by 47 publications

References 59 publications

Urodynamic measurements reflect physiological bladder function in rats

Urodynamic measurements reflect physiological bladder function in rats

Management of urinary retention in patients with benign prostatic obstruction: A systematic review and meta-analysis

Suprapubic tube versus urethral catheter drainage after robot-assisted radical prostatectomy: a systematic review and meta-analysis

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