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Longterm indwelling urethral catheterization for neuropathic bladders--an audit
Journal of the Royal College of Surgeons of Edinburgh
|October 1, 1994
Summary
Longterm indwelling urethral catheterization is a viable option for managing neuropathic bladders. This study found that with proper care, complications are manageable, making it a serious consideration for patients requiring continuous bladder drainage.
Area of Science:
- Urology
- Nephrology
Background:
- Neuropathic bladders often require long-term bladder management.
- Indwelling urethral catheters are a common method for managing these conditions.
Purpose of the Study:
- To audit the outcomes of long-term indwelling urethral catheterization in patients with neuropathic bladders.
- To assess the effects on upper urinary tracts and identify complications.
Main Methods:
- Audit of 17 patients with neuropathic bladders on indwelling urethral catheters for at least 8 years.
- Annual imaging (IVU/ultrasonography), serum creatinine, and cystoscopy were performed.
- A grading system for upper tract changes was utilized.
Main Results:
- Approximately 25% of patients developed early calyceal dilatation.
- Three patients required conversion to suprapubic catheterization, and three to ileoconduit diversion.
- Urinary tract infections were generally well-controlled with antibiotics; no tumors were observed.
Conclusions:
- Indwelling urethral catheterization can be a safe and effective long-term management strategy for neuropathic bladders.
- Good catheter management and regular changes are crucial for minimizing complications.
- It remains a serious option for long-term bladder drainage in selected patients.