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Related Experiment Video

Updated: Jul 5, 2025

Iatrogenic Injury Recapitulated: Electroexcision Technique for Urethral Stricture Modeling in Rats
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Characterization and Outcomes of Iatrogenic Urethral Catheterization Injuries.

Jack D Lawton1, Nicolas Ortiz2, Alexander Henry2

  • 1University of Virginia School of Medicine, Charlottesville, Virginia.

Urology Practice
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Summary

Iatrogenic injury during urethral catheterization is common, particularly in men with urologic history. These traumatic events lead to increased morbidity, infections, and significant healthcare resource utilization.

Keywords:
complicationstraumaurethral catheterization

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Area of Science:

  • Urology
  • Patient Safety
  • Medical Complications

Background:

  • Iatrogenic injury from urethral catheterization is a frequent cause of inpatient urology consultations.
  • Such injuries increase patient morbidity and healthcare resource utilization.
  • Limited literature exists on patient demographics, interventions, and outcomes for traumatic catheterization.

Purpose of the Study:

  • To identify patient characteristics associated with traumatic urethral catheterization.
  • To analyze the complications and resource utilization following traumatic catheterization.
  • To define the incidence of traumatic urethral catheterization events.

Main Methods:

  • Retrospective review of adult urethral catheterization consults at a tertiary care center (July 2017-December 2019).
  • Traumatic catheterization defined by gross hematuria, meatal blood, or cystoscopic evidence of trauma.
  • Data collected included patient urologic history, catheterization circumstances, interventions, and follow-up visits.

Main Results:

  • 300 consults identified, with 98 (33%) traumatic events (5.3 incidents/1000 catheters).
  • All traumatic events occurred in men (median age 69); 71% had prior urologic history.
  • Common sequela: gross hematuria (50%). Complications included 13% 30-day catheter-associated urinary tract infection, 2 sepsis cases, 52 extra hospital days, and 113 outpatient visits.

Conclusions:

  • Traumatic urethral catheterization necessitates more procedural interventions and increases catheter-associated urinary tract infection risk.
  • These injuries lead to substantial additional healthcare resource utilization.
  • Further research is needed to develop strategies for minimizing traumatic catheterization injuries and associated costs.