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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...

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A Modified Method for Intrathecal Catheterization in Rats
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Urethral catheterization in spinal surgery: a randomized prospective study.

H Normelli1, S Aaro, R Hedlund

  • 1Department of Orthopaedic Surgery, Linköping University Hospital, Linköping, Sweden.

European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
|January 12, 2010
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Summary
This summary is machine-generated.

Intraoperative indwelling urethral catheters (IUC) in spinal fusion surgery did not significantly increase urinary infection complications compared to no catheter. IUCs offer benefits like preventing bladder distension and improving fluid monitoring.

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Area of Science:

  • Urology
  • Neurosurgery
  • Infectious Disease

Background:

  • Urinary complications are a concern in patients undergoing spinal fusion.
  • The use of intraoperative indwelling urethral catheters (IUC) versus no catheter (NC) for bladder management during spinal fusion is debated.

Purpose of the Study:

  • To investigate the effect of intraoperative IUC on urinary complications in spinal fusion patients.
  • To compare infection rates and bladder issues between IUC and NC groups.

Main Methods:

  • Prospective randomized study with 32 patients (16 IUC, 16 NC).
  • All patients received postoperative intermittent catheterization as needed.
  • Urine cultures and dip slides were used to assess bacteriuria and infection.

Main Results:

  • No significant difference in positive urine cultures (> or = 100,000 CFU/ml) between IUC (7/16) and NC (2/16) groups.
  • Bacteriuria detected by dip slides in 84% of all patients, irrespective of treatment.
  • No significant difference in urine volumes during intermittent catheterization, though 3 NC patients exceeded 1000 ml.

Conclusions:

  • Intraoperative IUC use does not appear to significantly increase urinary infection complications in spinal fusion.
  • Advantages of IUC include reduced risk of bladder distension injury and more accurate fluid balance monitoring.
  • The use of perioperative indwelling catheters is suggested based on these benefits.