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Bladder calculi complicating intermittent catheterization

M H Solomon, S A Koff, A C Diokno

    The Journal of Urology
    |July 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

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    Hair introduced during clean, intermittent catheterization can lead to bladder stones in male patients. Careful observation and avoidance of hair adherence to catheters are crucial to prevent this complication.

    Area of Science:

    • Urology
    • Nephrology

    Background:

    • Clean, intermittent catheterization (CIC) is a common procedure for bladder emptying.
    • Late complications of CIC require ongoing investigation.

    Observation:

    • Four male patients developed bladder calculi (stones) after performing CIC.
    • A hair was identified as the nidus for stone formation in each case.

    Findings:

    • Hair adherence to the catheter serves as a nucleus for incrustation, leading to bladder calculi.
    • This complication appears more prevalent in male patients, potentially those with impaired tactile discrimination.

    Implications:

    • Patients undergoing CIC, especially males with reduced tactile sensation, need education on preventing hair contamination.

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  • Vigilance in observing for and avoiding hair on catheters is essential to mitigate the risk of bladder stone formation.