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The retained urinary catheter
1Department of Surgery, University College Hospital, Ibadan, Nigeria.
Tropical and Geographical Medicine
|January 1, 1993
Summary
Urinary catheter retention is a growing issue. Blind percutaneous suprapubic puncture (BPSP) offers a simple solution, though transient hematuria occurred in one patient, highlighting potential equipment quality concerns.
Area of Science:
- Urology
- Medical Devices
Background:
- Urinary catheter retention presents a significant clinical challenge.
- An increasing incidence of catheter retention complications has been observed.
Purpose of the Study:
- To evaluate management strategies for urinary catheter retention.
- To assess the efficacy and safety of blind percutaneous suprapubic puncture (BPSP).
Main Methods:
- Retrospective review of 18 patients over a 6-month period with 528 catheterizations.
- Analysis of various management options, including BPSP.
Main Results:
- Catheter retention incidence was 3.4% (18/528).
- Blind percutaneous suprapubic puncture (BPSP) demonstrated simplicity and effectiveness.
- Transient hematuria occurred in 1 of 13 patients undergoing BPSP.
- Malfunctioning catheter balloon mechanisms were noted, potentially linked to equipment quality or storage.
Conclusions:
- BPSP is a viable and effective method for managing urinary catheter retention.
- Concerns regarding urinary catheter balloon mechanism reliability warrant further investigation.
- Improved equipment quality and storage may reduce catheter retention complications.