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New method of postprostatectomy bladder irrigation
J P MacDermott1, R Ewing, B K Gray
1Urology Department, Bradford Royal Infirmary, UK.
European Urology
|January 1, 1989
Summary
Bacterial filters effectively sterilize hospital water for post-prostatectomy bladder irrigation. This method is as safe and reliable as traditional stills, with similar rates of postoperative bacteriuria in patients.
Area of Science:
- Urology
- Infection Control
- Medical Device Sterilization
Background:
- Hospital water supplies can be a source of contamination.
- Sterile irrigation is crucial for preventing urinary tract infections after prostatectomy.
- Traditional methods for sterilizing irrigation fluid include using stills.
Purpose of the Study:
- To compare the efficacy and safety of bacterial filters versus stills for sterilizing bladder irrigation fluid post-prostatectomy.
- To assess the incidence of postoperative bacteriuria in patients receiving irrigation from either method.
Main Methods:
- Retrospective study comparing two groups of 75 patients.
- One group received bladder irrigation using water sterilized by bacterial filters.
- The other group received irrigation using water from a ward-based still.
Main Results:
- Postoperative bacteriuria rates were similar between the two groups.
- 20% of patients irrigated via filters developed bacteriuria.
- 23.7% of patients irrigated from the still developed bacteriuria.
Conclusions:
- Bacterial filters are a reliable and safe method for sterilizing irrigation fluid.
- The use of bacterial filters for post-prostatectomy irrigation is comparable to traditional still-based methods.
- Bacterial filtration offers a viable alternative for maintaining sterile bladder irrigation.