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Acute urinary retention: which catheter?

J T Allardice1, N J Standfield, A P Wyatt

  • 1Department of Surgery, Brook Hospital, London.

Annals of the Royal College of Surgeons of England
|November 1, 1988
PubMed
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This study found that both latex rubber and polyvinyl-chloride (PVC) catheters are equally effective for managing acute urinary retention in males, with no significant complications. Proper pain management is crucial for successful catheterization.

Area of Science:

  • Urology
  • Medical Devices

Background:

  • Acute urinary retention (AUR) in males lacks comparative data on optimal catheter type.
  • Choosing the appropriate catheter is essential for effective AUR management.

Purpose of the Study:

  • To compare the efficacy of latex rubber balloon catheters versus polyvinyl-chloride (PVC) catheters in male patients with AUR.
  • To evaluate catheterization success rates and complication incidence.

Main Methods:

  • A comparative study involving 50 male patients diagnosed with AUR.
  • Two catheter types were assessed: size 12G latex rubber balloon catheter and a similar calibre PVC catheter.
  • Success rate at first attempt and incidence of complications were recorded.

Main Results:

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  • Both latex rubber and PVC catheters achieved a 100% successful catheterization rate on the first attempt.
  • No significant complications were reported for either catheter type during the study.
  • The cost difference between catheters was noted, with PVC being more expensive.

Conclusions:

  • Both latex rubber and PVC catheters are satisfactory for managing acute urinary retention in males.
  • Effective management of AUR, including adequate analgesia, is paramount.
  • Further research may be needed to explore long-term outcomes or specific patient populations.