2,103 results match your criteria: "Urethral Catheterization Women"

Comparative Analysis of the Efficacy of Different Surgical Modalities for the Treatment of Female Stress Urinary Incontinence: A Multicenter Retrospective Study.

Int J Womens Health

November 2024

Department of Gynecology, Minda Hospital of Hubei Minzu University, Enshi, Enshi Tujia and Miao Autonomous Prefecture, Hubei, People's Republic of China.

Article Synopsis
  • The study aimed to compare the effectiveness of four surgical techniques for treating female stress urinary incontinence (SUI) using a sample of 243 patients divided into four groups based on the method used: AFS, TVT-O, epithelial flap suspension, and ASIS.
  • Results showed no significant differences in treatment outcomes across the groups, but the ASIS group had better metrics in terms of reduced intraoperative bleeding and shorter hospital stays compared to others.
  • The TVT-O technique was associated with a higher occurrence of postoperative medial thigh pain, while the AFS group had more cases of urine retention, highlighting the different risk profiles of each surgical method despite overall effectiveness.
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Objectives: Do weekly prophylactic saline or acidic catheter washouts in addition to standard long-term catheter (LTC) care improve the outcomes of adults with LTC compared with standard LTC care only.

Design: Three-arm superiority open-label randomised controlled trial.

Setting: UK community-based study.

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Background: Pelvic floor dysfunctions (PFDs) have a complex, multifactorial pathophysiology that impacts women's health and must be identified to provide the most appropriate care and treatment. Therefore, symptom and quality of life (QoL) questionnaires, briefly identified as patient-reported outcomes (PROs), have been developed. Despite the large number of questionnaires available for the assessment of PFDs and QoL-related issues in English, few of them have been validated for the Italian language.

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Article Synopsis
  • Vesicovaginal fistula (VVF) is a serious complication that can arise after surgeries like hysterectomy, often leading to other issues such as pelvic organ prolapse and a decrease in quality of life for women.
  • A case study of a 53-year-old woman with VVF and cystocele demonstrates successful treatment through a single-step transvaginal surgery, which improved her urinary incontinence and overall wellbeing.
  • VVF and cystocele post-hysterectomy are uncommon but can significantly affect women's health; this case highlights that one-time surgical intervention can be an effective solution, minimizing the need for multiple treatments.
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Article Synopsis
  • The study aimed to measure the risk of urinary retention after different levels of nerve preservation during surgeries for deep endometriosis.
  • Out of 151 participants, most had excellent nerve preservation, but those with poor preservation (P3 group) experienced a higher incidence of urinary retention and needed catheterization.
  • The findings indicate that poor nerve preservation during parametrectomy significantly increases the likelihood of urinary retention, even if the nerves on the opposite side remain intact.
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[Analysis of risk factors for onset of acquired Serratia marcescens infection in neonatal intensive care unit].

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue

October 2024

Department of Neonatal Intensive Care Unit, Women and Children's Hospital of Ningbo University, Ningbo 315012, Zhejiang, China. Corresponding author: Li Yanhong, Email:

Objective: To analyze the clinical characteristics of critically ill neonates in the neonatal intensive care unit (NICU) who acquired Serratia marcescens infection for onset or colonization, and to explore the risk factors contributing to the onset of Serratia marcescens infection.

Methods: A retrospective case-control study was conducted by collecting clinical data from NICU neonates at the Women and Children's Hospital of Ningbo University between January 2017 and December 2023. Forty-four neonates with clinical signs and/or symptoms consistent with Serratia marcescens infection, and with Serratia marcescens isolated from specimens, would be enrolled as the infection onset group, while 45 neonates who tested positive for Serratia marcescens in rectal and/or pharyngeal cultures during the same period, but had no clinical signs or infection symptoms, were enrolled as the colonization control group.

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Objective: Initially diagnosed as a respiratory disease, SARS-CoV-2 revealed numerous extrapulmonary implications. The aim of this study was to investigate prolonged urinary retention in survivors post-COVID-19 infection that led to hospitalization.

Methods: A retrospective cohort analysis included male and female patients hospitalized during the COVID-19 pandemic in a reference center hospital.

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Bladder perforation due to laparoscopic peritoneal dialysis catheterization: A case report and literature review.

Medicine (Baltimore)

November 2024

Department of Gastrointestinal and Minimally Invasive Surgery, Shaoxing Second Hospital, Shaoxing, Zhejiang, China.

Rationale: Complications related to the peritoneal dialysis (PD) catheter are the primary cause of treatment failure in PD, and bladder perforation is a rare complication of PD catheter placement. To date, there have been no reported cases of bladder perforation occurring during laparoscopic PD catheter placement.

Patient Concerns: An 80-year-old woman was admitted to Shaoxing Second Hospital due to a decade-long history of high blood creatinine levels.

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Incarceration of a retroverted uterus is a rare, but harmful obstetric complication increasing foetal mortality and maternal morbidity if untreated. In this case report, a pregnant woman at 16+3 presented with urine retention. Assessment showed an incarcerated uterus due to retroversion.

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Introduction: Cesarean section is the most common surgery performed on women. The enhanced recovery recommendations are early urinary catheter removal and early mobilization, as essential elements of post-operative care. This study aimed to analyze the association between these elements and whether limiting the catheter treatment duration affects the timing of post-operative mobilization.

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Introduction And Hypothesis: We aimed to evaluate the clean intermittent catheterization (CIC) rate in women undergoing their first OnabotulinumtoxinA (BTX-A) treatment and to investigate factors predictive of initiating CIC.

Methods: This was a retrospective cohort of women, who had their first BTX-A treatment for symptoms of overactive bladder (OAB) syndrome, with a pretreatment urodynamic study (UDS). We reviewed demographic, medical and gynecological history, UDS, pretreatment bladder diaries, objective examinations, BTX-A treatment details, and post-void residual (PVR) reports in the electronic medical record.

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Background: Urinary tract infections (UTIs) are one of the most commonly reported infections in Belgian nursing home residents. In older adults, UTI diagnosis and management is complex, often leading to over-diagnosis and irrational antimicrobial use, stressing the need for a guideline approach.

Objectives And Methods: A consensus statement on the prevention, diagnosis and treatment of UTIs in older adults residing in nursing homes was developed in a collaborative effort between the Flemish Hospital Outbreak Support Teams, the Flemish Agency for Care and Health, the Association of the Flemish Coordinating and Advising General Practitioners, the Belgian Association of Urology, the Belgian Society for Gerontology and Geriatrics and PhD researchers based on a combination of clinical expertise, (inter)national guidelines and peer-reviewed studies.

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Fowler syndrome is a rare entity that occurs in young women, with a high incidence of polycystic ovary syndrome. It consists of episodes of acute urinary retention that have a characteristic electromyographic pattern. Its etiology is unclear and is usually preceded by a trigger such as a surgical procedure, childbirth, other acute medical conditions, and opioid use.

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Rationale: Complex vesicovaginal fistulas (VVFs) with large defects pose significant surgical challenges. Traditional repair methods often require extensive tissue separation and multilayer suturing, risking local blood supply and healing. This study introduces a novel modified transvaginal repair technique that simplifies the procedure while preserving tissue vascularity.

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Treating an underactive bladder (UAB) is challenging. Previously, we introduced a more precise method of transvaginal ultrasound-guided botulinum toxin A (BoNT-A) injection into the external urethral sphincter as a treatment option for patients with UABs. Although many patients experience good results, those with an UAB and excessive residual urine still require catheterization.

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Article Synopsis
  • Purple Urine Bag Syndrome (PUBS) is a rare occurrence linked to urinary infections in patients with catheters, causing urine to turn purple due to bacterial enzyme reactions.
  • The purple color results from the breakdown of the amino acid tryptophan into indoxyl sulfate and further into indigo and indirubin in the presence of specific bacteria and alkaline conditions.
  • A case study described an elderly woman in a nursing home who developed PUBS during hospitalization due to various health issues, with the purple color disappearing after changing her catheter and urinary bag.
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Importance: Understanding the diagnostic accuracy of postoperative trial of void (TOV) parameters is important for decision making related to postoperative catheterization.

Objective: The aim of the study was to compare the diagnostic accuracies of common postoperative TOV parameters.

Design: The study population comprised a prospective cohort undergoing outpatient urogynecologic procedures at a tertiary referral center from September 2018 to June 2021.

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Introduction: We analyzed the time course of postvoid residual urine volume for patients with cerebrovascular diseases in the acute phase.

Materials And Methods: A multidisciplinary specialized team measured postvoid residual urine volume of 65 patients (31 patients with cerebral infarction and 34 patients with cerebral hemorrhage) from September 2021 to August 2023. If a patient's postvoid residual urine volume was 100 mL or more, an indwelling urinary catheter was reinserted with or without medication, or clean intermittent catheterization was performed with or without medication.

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Article Synopsis
  • Urinary catheterisation requires a solid grasp of anatomical differences between males and females to ensure safety and effectiveness in healthcare.
  • The guide emphasizes the anatomy of the urinary system, outlines different catheterisation techniques, and highlights the importance of evidence-based practices and ongoing training for healthcare providers.
  • It also promotes patient-focused care, teamwork among healthcare professionals, and adherence to updated policies to minimize complications like catheter-associated urinary tract infections (CAUTIs).
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Article Synopsis
  • A new bedside urethrography method using a 10-mL syringe and X-ray contrast medium is introduced for patients with pelvic trauma, allowing quick assessment before catheterization.
  • In a case study, a 36-year-old soldier with hematuria after a saddle injury underwent this technique, revealing leaks from the posterior urethra.
  • The procedure aids in the diagnosis of urethral injuries associated with pelvic fractures and has proven valuable for timely interventions like catheterization or surgery.
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Background: Clean intermittent self-catheterisation (CISC) with conventional eyelet catheters (CECs) is associated with urine flow-stops, which require the catheter to be repositioned so flow can resume. Flow-stops often occur because bladder mucosa is sucked into the eyelets.

Aims: This investigation aimed to compare the bladder-emptying performance of the micro-hole zone catheter (MHZC) with the CEC.

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Clean intermittent catheterization in multiple sclerosis patients: An adherence and long-term follow-up study.

Fr J Urol

December 2024

Urology, University Hospital of Liège, avenue de l'Hôpital 1, 4000 Liège, Belgium; Urology, CHR of Huy, rue des Trois-ponts 2, 4500 Huy, Belgium.

Introduction: Clean Intermittent Catheterization (CIC) is considered as a gold standard of treatment for bladder emptying disorders. A large amount of literature on CIC for patients suffering from neurological disorders is available, but there is a lack of research specifically concerning multiple sclerosis (MS) patients. Our primary outcome was to determine the characteristics of our population (sex, EDSS and age when CIC was introduced).

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A 22-year-old woman, known to have a BMI of 12 kg/m2 and a personality disorder, developed urinary retention on a normal dose of quetiapine. She had earlier tolerated a dose of 800 mg quetiapine without complications. The daily dose was 600 mg in combination with oxazepam and zolpidem.

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Background: A non-inferiority clinical study evaluated the efficacy and safety of abobotulinumtoxinA vs. incobotulinumtoxinA intradetrusor injections in women with overactive bladder and urge urinary incontinence. Also, the effect of local anesthesia on the pain level of the procedure was assessed.

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