Abstract
Because latex rubber catheters have been implicated in urethral stricture formation, the incidence of urethral strictures following transurethral prostatectomy (TUP) and subsequent catheterisation with latex rubber or polyvinyl chloride catheters was compared. A total of 84 patients with benign prostatic hyperplasia (n = 71) or prostatic carcinoma (n = 13) underwent assessment of urethral diameter and subsequent internal urethrotomy prior to TUP. Following resection, 42 patients received three-way self-retaining latex rubber catheters and 42 received similar catheters made of PVC. Catheters were removed when the urine was clear (mean time = 3 days), and no patient required recatheterisation. Urinary flow was assessed in all patients at 6, 12 and 24 weeks after surgery, and diminution of flow with submeatal stricture formation was noted in one patient who had received a latex rubber catheter, and in one who had received a PVC catheter. In this study, the composition of the catheter had no bearing on subsequent stricture formation following TUP.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Allardice J. T., Standfield N. J., Wyatt A. P. Acute urinary retention: which catheter? Ann R Coll Surg Engl. 1988 Nov;70(6):366–368. [PMC free article] [PubMed] [Google Scholar]
- Bailey M. J., Shearer R. J. The role of internal urethrotomy in the prevention of urethral stricture following transurethral resection of prostate. Br J Urol. 1979 Feb;51(1):28–31. doi: 10.1111/j.1464-410x.1979.tb04240.x. [DOI] [PubMed] [Google Scholar]
- Bailey M. J., Shearer R. J. The role of internal urethrotomy in the prevention of urethral stricture following transurethral resection of prostate. Br J Urol. 1985 Feb;57(1):81–81. doi: 10.1111/j.1464-410x.1985.tb08991.x. [DOI] [PubMed] [Google Scholar]
- Blandy J. P. Urethral stricture. Postgrad Med J. 1980 Jun;56(656):383–418. doi: 10.1136/pgmj.56.656.383. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Burkitt D. S., Barwell N. J., Wilson A. G. Urethral catheter strictures. Lancet. 1986 Mar 22;1(8482):688–688. doi: 10.1016/s0140-6736(86)91770-8. [DOI] [PubMed] [Google Scholar]
- Chester J. F., Smith K. D., Taylor R. S. Unrecognised hazard of urethral lubrication. Lancet. 1988 Mar 19;1(8586):641–641. doi: 10.1016/s0140-6736(88)91432-8. [DOI] [PubMed] [Google Scholar]
- Hammarsten J., Lindqvist K., Sunzel H. Urethral strictures following transurethral resection of the prostate. The role of the catheter. Br J Urol. 1989 Apr;63(4):397–400. doi: 10.1111/j.1464-410x.1989.tb05226.x. [DOI] [PubMed] [Google Scholar]
- Ruutu M., Alfthan O., Heikkinen L., Järvinen A., Konttinen M., Lehtonen T., Merikallio E., Standertskjöld-Nordenstam C. G. Unexpected urethral strictures after short-term catheterization in open-heart surgery. Scand J Urol Nephrol. 1984;18(1):9–12. doi: 10.3109/00365598409182157. [DOI] [PubMed] [Google Scholar]
- Ruutu M., Alfthan O., Heikkinen L., Järvinen A., Lehtonen T., Merikallio E., Standertskjöld-Nordenstam C. G. "Epidemic" of acute urethral stricture after open-heart surgery. Lancet. 1982 Jan 23;1(8265):218–218. doi: 10.1016/s0140-6736(82)90775-9. [DOI] [PubMed] [Google Scholar]
- Ruutu M., Alfthan O., Talja M., Andersson L. C. Cytotoxicity of latex urinary catheters. Br J Urol. 1985 Feb;57(1):82–87. doi: 10.1111/j.1464-410x.1985.tb08992.x. [DOI] [PubMed] [Google Scholar]
- Syme R. R. Epidemic of acute urethral stricture after prostate surgery. Lancet. 1982 Oct 23;2(8304):925–925. doi: 10.1016/s0140-6736(82)90882-0. [DOI] [PubMed] [Google Scholar]
- WARRES H. L. Urethral stricture following transurethral resection of the prostate. J Urol. 1958 Jun;79(6):989–993. doi: 10.1016/S0022-5347(17)66379-1. [DOI] [PubMed] [Google Scholar]