Catheterization of the Urinary Bladder and Suprapubic Cystostomy - Related Resources

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 Antiseptic Impregnated Urethral Catheters for Short-Term Use.
• Antibiotic prophylaxis may reduce the rate of symptomatic urinary tract infections in female patients with a short-term postoperative urethral catheterization Antibiotics for Short-Term 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 Removal of Short-Term Indwelling Urethral Catheters.
• 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 Urinary Catheter Policies after Urogenital Surgery.
• 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 Types of Indwelling Urinary Catheters for Long-Term Bladder Drainage in Adults.
• 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 Intermittent Catheter Techniques, Strategies and Designs for Managing Longterm Bladder Conditions.
• 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 Urinary Catheter Policies for Short-Term Bladder Drainage in Adults.
• 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 Types of Indwelling Urinary Catheters for Long-Term Bladder Drainage in Adults.