Birkhäuser, Frédéric; Studer, Urs (2015). [Acute urinary retention: a few simple rules for a successful catheterization]. Therapeutische Umschau, 72(1), pp. 39-42. Huber 10.1024/0040-5930/a000636
Full text not available from this repository. (Request a copy)Acute urinary retention is a common emergency condition in elderly men. Transurethral and suprapubic catheterization are easy and safe procedures provided that a few simple rules are followed. Primarily, a transurethral catheter is placed if there is no urethral injury or stricture. Local anaesthesia of the urethra up to the sphincter region and a well-stretched penis warrant an atraumatic insertion of the catheter into the bladder. The use of a thick catheter with a round tip or of a catheter with a bended tip under rectal guidance facilitate the insertion of the catheter in difficult conditions. Alternatively, a suprapubic catheterization can be performed provided that no contraindication such as history or suspicion of transitional cell carcinoma is present. Optimal interventional conditions using ultrasound-guidance are mandatory in patients after abdominal surgery and with hemorrhagic diathesis in view of a safe and straight-forward placement of the suprapubic catheterization. In case of persistent bleeding after insertion of a suprapubic catheter, the suprapubic catheter should be replaced by one with a balloon blocked and kept under tension for several minutes.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Dermatology, Urology, Rheumatology, Nephrology, Osteoporosis (DURN) > Clinic of Urology |
UniBE Contributor: |
Birkhäuser, Frédéric, Studer, Urs |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
0040-5930 |
Publisher: |
Huber |
Language: |
German |
Submitter: |
Katharina Morgenegg |
Date Deposited: |
26 Feb 2015 17:00 |
Last Modified: |
05 Dec 2022 14:41 |
Publisher DOI: |
10.1024/0040-5930/a000636 |
PubMed ID: |
25533254 |
URI: |
https://boris.unibe.ch/id/eprint/63481 |
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