Same sized three-way indwelling urinary catheters from various manufacturers present different irrigation and drainage properties.

hematuria indwelling catheters prostatectomy therapeutic irrigation urinary bladder neoplasms

Journal

Therapeutic advances in urology
ISSN: 1756-2872
Titre abrégé: Ther Adv Urol
Pays: England
ID NLM: 101487328

Informations de publication

Date de publication:
Historique:
received: 11 05 2019
accepted: 12 10 2019
entrez: 18 1 2020
pubmed: 18 1 2020
medline: 18 1 2020
Statut: epublish

Résumé

The three-way indwelling urinary catheter (IUC) is used for continuous bladder irrigation and is considered the cornerstone for clinical treatment of patients with macroscopic hematuria. Although there seems to be a logical relationship between catheter size and efficacy of irrigation and drainage, we often observe relevant variations in these parameters between different brands of catheters available on the market. The aim of this study was to compare the mechanical properties of different models of latex and silicone three-way catheters in an Three different three-way catheters were evaluated: Gold Silicone-Coated Rusch Different catheter models of the same caliber have different internal irrigation port diameters, internal drainage port diameters and internal cuff port diameters. The Model C IUC internal irrigation port diameter is significantly larger than models A and B. When flows were evaluated, we found that in the same model, the increase in caliber of the IUC was related to an increased drainage flow, but not to an increased irrigation flow. Precise measurements of the internal architecture of the three-way catheter, rather than relying on the caliber itself, could assist surgeons in choosing the best product for each specific patient, while minimizing complications.

Sections du résumé

BACKGROUND BACKGROUND
The three-way indwelling urinary catheter (IUC) is used for continuous bladder irrigation and is considered the cornerstone for clinical treatment of patients with macroscopic hematuria. Although there seems to be a logical relationship between catheter size and efficacy of irrigation and drainage, we often observe relevant variations in these parameters between different brands of catheters available on the market. The aim of this study was to compare the mechanical properties of different models of latex and silicone three-way catheters in an
METHODS METHODS
Three different three-way catheters were evaluated: Gold Silicone-Coated Rusch
RESULTS RESULTS
Different catheter models of the same caliber have different internal irrigation port diameters, internal drainage port diameters and internal cuff port diameters. The Model C IUC internal irrigation port diameter is significantly larger than models A and B. When flows were evaluated, we found that in the same model, the increase in caliber of the IUC was related to an increased drainage flow, but not to an increased irrigation flow.
CONCLUSION CONCLUSIONS
Precise measurements of the internal architecture of the three-way catheter, rather than relying on the caliber itself, could assist surgeons in choosing the best product for each specific patient, while minimizing complications.

Identifiants

pubmed: 31949476
doi: 10.1177/1756287219889496
pii: 10.1177_1756287219889496
pmc: PMC6952853
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1756287219889496

Informations de copyright

© The Author(s), 2020.

Déclaration de conflit d'intérêts

Conflict of interest statement: The authors declare that there is no conflict of interest.

Références

J Urol. 2009 Apr;181(4):1922-5
pubmed: 19237172
Nurs Times. 1991 Sep 11-17;87(37):67-8
pubmed: 1896353
Neurourol Urodyn. 2008;27(8):738-46
pubmed: 18951451
BJU Int. 2016 Apr;117(4):662-8
pubmed: 26299915
Br J Nurs. 1996 Feb 22-Mar 13;5(4):245-51
pubmed: 8704456
Einstein (Sao Paulo). 2015 Jul-Sep;13(3):420-2
pubmed: 26132361
Urology. 2006 Jan;67(1):40-4
pubmed: 16413329
Urology. 2016 Mar;89:155-9
pubmed: 26768713
Int Braz J Urol. 2016 Mar-Apr;42(2):284-92
pubmed: 27256183

Auteurs

Arie Carneiro (A)

Department of Urology, Hospital Israelita Albert Einstein, São Paulo, SP - 06455-010, Brazil; Faculdade de Medicina do ABC, São André, Brazil.

Marcelo Langer Wroclawski (ML)

Hospital Israelita Albert Einstein, São Paulo, Brazil; Faculdade de Medicina do ABC, São André, Brazil.

Guilherme Andrade Peixoto (GA)

Faculdade de Medicina do ABC, São André, Brazil.

Jonathan Doyun Cha (JD)

Hospital Israelita Albert Einstein, São Paulo, Brazil.

Natasha Kouvaleski Saviano Moran (NKS)

Faculdade de Medicina do ABC, São André, Brazil.

Felipe Ko Chen (FK)

Faculdade de Medicina do ABC, São André, Brazil.

Henrique Nelson Satkunas (HN)

Mauá Technology Institute, São Caetano do Sul, Brazil.

José Roberto Augusto Campos (JRA)

Mauá Technology Institute, São Caetano do Sul, Brazil.

Alides Maria Mendes Rasabone Garcia (AMMR)

Hospital Israelita Albert Einstein, São Paulo, Brazil.

Manoj Monga (M)

Cleveland Clinic, Cleveland, OH, USA.

Gustavo Caserta Lemos (GC)

Hospital Israelita Albert Einstein, São Paulo, Brazil.

Classifications MeSH