Catheterization of the urinary bladder and suprapubic cystostomy – Related resources
03.06.2016 • Sonuncu dəyişiklik 16.11.2010
This article is created and updated by the EBMG Editorial Team
Cochrane reviews
- Silver alloy-coated urinary catheters as compared to standard catheters appear to reduce bacteriuria during short-term catheterisation and may result in cost reductions .
- Antibiotic prophylaxis may reduce the rate of symptomatic urinary tract infections in female patients with a short-term postoperative urethral catheterization .
- Midnight removal of a short-term indwelling urethral catheter, as compared to early morning removal, may be beneficial, resulting in patients passing significantly larger volumes of urine, a longer time to first void and shorter lengths of hospitalisation .
- To avoid urinary retention it may be beneficial to use postoperative catheterisation, preferably using suprapubic rather than urethral catheter, after urogenital surgery in adults. Urinary tract infections may be fewer when a catheter is removed early .
- There is no evidence to indicate which types of catheters are best to use in patients who need long-term bladder drainage. A permanent indwelling catheter should not be inserted without a medical cause in an incontinent patient in long-term care .
- There is a lack of evidence to state that incidence of urinary tract infection in persons using intermittent catheterisation is affected by use of sterile or clean technique, coated or uncoated catheters, single (sterile) or multiple use (clean) catheters, self-catheterisation or catheterisation by others, or by any other strategy .
- Suprapubic catheters appear to be advantageous over indwelling urethral catheterisation in respect of bacteriuria, recatheterisation and discomfort in adults for short-term bladder drainage. Intermittent catheterisation appears to be associated with a lower risk of bacteriuria than indwelling one, but might be more costly .
- There is no evidence to indicate which types of catheters are best to use in patients who need long-term bladder drainage. A permanent indwelling catheter should not be inserted without a medical cause in an incontinent patient in long-term care .