*Punctures ; *Urinary Catheterization

PURPOSE: To implement evidence-based nursing, it is important to know where and how to find the best available evidence. This study was conducted to identify the results of a search from Ovid MEDLINE and to compare the results from Ovid MEDLINE with those from PubMed MEDLINE. METHODS: Four different approaches via Ovid MEDLINE were used to search for guidelines on preventing catheter-associated urinary tract infections. Outcomes of this study were the number of records and relevant literature, and the sensitivity and precision of the search methods via Ovid MEDLINE. RESULTS: The number of retrieved items ranged 23 to 6,005 and that of relevant studies, 5 to 8 of 8. Simple searches resulted in the highest sensitivity of 100.0%. When using MeSH terms and limits feature, the precision was highest (21.7%) among four approaches for literature searches. Simple searches in Ovid had higher sensitivity and lower precision than those in PubMed. CONCLUSION: Simple searches in Ovid may be inefficient for busy clinicians compared to PubMed. However, to ensure a comprehensive and systematic literature search, using Ovid MEDLINE in addition to PubMed is recommended.
Evidence-Based Nursing ; Urinary Catheterization ; Urinary Tract Infections ; Urinary Tract*

PURPOSE: Postoperative urinary retention (POUR) is a common complication after spinal surgery. However, no clear definition of POUR currently exists, and no studies have evaluated the management of POUR. We aimed to investigate the prognostic factors for eventual POUR-free status in spinal surgery patients. METHODS: The records of patients who received a urologic consultation for POUR from January 2015 to December 2016 were reviewed. POUR-free status was defined as a voiding volume (VV) >100 mL and a VV ratio >50%. Patients with an indwelling Foley catheter and those with any postoperative complications were excluded. The patients were divided into 2 groups according to the primary management method (Foley catheterization [FC] or intermittent catheterization [IC]). RESULTS: In total, 205 patients (median age, 70.6 years) were evaluated. Significant prognostic factors for eventual POUR-free status were intraoperative FC, previous spinal surgery, operative level (L3–5), lumbar fusion, and total volume (TV) at the time of POUR. Bladder training and medication did not reduce the time to POUR-free status. In patients who underwent FC, the duration of indwelling FC was a significant prognostic factor for POUR-free status. In a subanalysis, the TV (≥500 mL) and VV ratio at the time of POUR were significant prognostic factors for POUR-free status after primary management. Among the patients who achieved a POUR-free status, 8 (6.4%) experienced recurrent POUR. The VV ratio (<62.0%) was the only predictor of recurrent POUR. CONCLUSIONS: The criterion of POUR-free status is useful after spinal surgery. IC and FC were similar in their efficacy for the management of these patients.
Catheterization ; Catheters ; Humans ; Methods ; Postoperative Complications ; Postoperative Period ; Urinary Bladder ; Urinary Catheterization ; Urinary Retention*

PURPOSE: Post-voiding residual urine hasbeen evaluated by urethral catheterization or abdomen ultrasonography in patients with benign prostatic hyperplasia. However, urethral catheterization is invasive and abdomen ultrasonography is not cost-effective for patients with benign prostatic hyperplasia. Therefore, we wished to determine the efficacy of using transrectal ultrasonography for the evaluation of the residual urine volume. MATERIALS AND METHODS: A total of 37 patients were evaluated. The mean age of the patients was 69 years, ranging from 54-84 years. The empty bladder was instilled with a random volume of saline. In addition, the bladder volume was checked by transrectal ultrasonography. RESULTS: The total mean residual urine volume checked by transrectal ultrasonography and catheterization were different statistically. When we performed a simple linear regression of the residual urine volume determined by each method, the regression coefficient was 0.699 and the determination coefficient was 58.4%. We divided the patients into two groups-one group of patients with a residual urine volume of 150ml and the other group of patients with a prostate volume of 40ml. When the residual urine volume was less than 150ml and the prostate volume was less than 40ml, each mean residual urine volume was not different statistically. The determination coefficient was more than 60% by the simple linear regression. CONCLUSIONS: We could use transrectal ultrasonography for the purpose of a residual urine volume check. Especially when the residual urine volume was less than 150ml and the prostate volume was less than 40ml, we could estimate the residual urine volume by transrectal ultrasonography more accurately.
Abdomen ; Catheterization ; Catheters ; Humans ; Linear Models ; Prostate ; Prostatic Hyperplasia ; Ultrasonography* ; Urinary Bladder ; Urinary Catheterization ; Urinary Catheters

The determination of the residual urine volume is an essential part of the investigation of many urological patients. particularly those with suspected urinary outflow obstruction. In 31 patients, we measured 3 internal bladder diameters ( height, width and depth) by transabdominal ultrasonography and calculated the residual urine volume by formula for ellipsoid (V= phi /6 xH xW xD).The real volume was obtained by the catheterization and compared with the sonographic measurement. There was a best correlation (r=0.9748) between calculated and true volumes provided a correction factor of 1.15 was applied. The advantages of ultrasonography for assessing residual urine volume are that it is simple, quick, harmless, non-invasive and readily repeatable. If the basic equipment is available, the ultrasonography should replace the catheterization.
Catheterization ; Catheters ; Humans ; Ultrasonography* ; Urinary Bladder

Endoscopically guided Foley catheterization was performed as an initial management of 32 patients with anterior urethral rupture and 7 patients with posterior urethral rupture during 6 years from December 1985 to April 1992. The duration of indwelling of the catheter was proportion to the degree and extent of the rupture. As a complication, urethral stricture was developed in 12 patients with anterior urethral rupture (8 patients with partial rupture and 4 patients with complete rupture), and 2 patients with posterior urethral rupture. The complication could be treated with endoscopic internal urethrotomy and some sounding with ease. We suggest that initial procedure have some profit as availability. simplicity. economy, reproducibility and diagnostic accuracy. And so, we would like to recommend this procedure as a initial management of urethral rupture.
Catheters ; Humans ; Rupture* ; Urethral Stricture ; Urinary Catheterization*

Studying of 15 patients with tuberculous ureteric stricture treated by extraversical ureteral reimplantation (4 males and 11 females, 10 cases of unilateral ureteric stricture and 5 cases of bilateral ureteric stricture). The mean operation time: 101.6 minutes, mean estimated blood loss: 68.6ml, mean time of removal of urethral catheter: 7 days, mean postoperative hospitalization: 8.13 days. Postoperative complications were minimum: 1 case of mild infection because oh ureteral stent migration, 1 case of moderate intraversical bleeding... Long-term outcomes of operation were satisfactory: on 12 patients performed follow-up UIV, 8 with good amelioration and 3 with pretty good amelioration, 1 without amelioration, mean follow-up duration: 15.5 months
Tuberculosis ; Postoperative Care ; Urinary Catheterization ; therapeutics ;

PURPOSE: This study was done to identify satisfaction with the method of evaluating practical skills in fundamental nursing through cellular phone animation self-monitoring and feedback. METHOD: The participants were 163 first-year student nurses. Data were collected from October 1 to 5 2007 using a structured questionnaire. RESULTS: The average score for satisfaction was 3.65(+/-.69) and the highest score was for the item, "I was pleased to have the opportunity of relearning by looking back at my behaviors through self monitoring" with 4.05(+/-.89). The average score for dissatisfaction was 3.23(+/-.90) and the highest score was "I memorized only orders according to the checklist" with 3.65(+/-.97). The practical tests method showed a significant difference according to motivation for application to college of nursing (F=3.11, p=.047). There was a significant positive correlation between practical education satisfaction and test method (r=.363, p=.000). CONCLUSION: These findings show that there is a need to develop strategies to improve practical test methods for student nurses.
Cellular Phone ; Humans ; Motivation ; Urinary Catheterization

A non-sterile technique of intermittent self catheterization was performed for 6 months to 3 years of duration an 4 patients with in inability to void in a normal fashion because of neurogenic bladder. Marked improvement was noted in urinary infection, renal function, bladder emptying, and perhaps most important the mental and emotional status of the patients and/or parents. The extremely low incidence of complications and its therapeutic efficacy clearly make non-sterile intermittent self catheterization an outstanding weapon in the urological field.
Catheterization* ; Catheters* ; Humans ; Incidence ; Parents ; Urinary Bladder ; Urinary Bladder, Neurogenic*

Purple urine bag syndrome (PUBS) is a rare condition, in which the patient has a purple-colored urine tubes or bags following urinary catheterization for hours to months. It is usually associated with elderly females, prolonged urinary catheterization, some bacterial infections that produce sulphatase/phosphatase, chronic debilitated state, and chronic constipation. We present a case report of this rare phenomenon occurring in a 73-year-old woman.
Aged ; Bacterial Infections ; Constipation ; Female ; Humans ; Urinary Catheterization ; Urinary Catheters