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J Urol. 1997 Aug;158(2):519-21.

The effect of urethral introducer tip catheters on the incidence of urinary tract infection outcomes in spinal cord injured patients.

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1
Department of Urology, University of California at Los Angeles, USA.

Abstract

PURPOSE:

We attempted to determine whether an introducer tip catheter reduces urinary tract infection in spinal cord injured patients on intermittent catheterization.

MATERIALS AND METHODS:

The introducer tip catheter bypasses the colonized 1.5 cm. of the distal urethra. Enrolled patients were prospectively entered into the study in alternate groups depending on whether they reflex voided: group 1--on intermittent catheterization with the introducer tip catheter but not voiding spontaneously or wearing an external urinary catheter, group 2--same as group 1 but using a nonintroducer tip catheter; group 3--on intermittent catheterization with the introducer tip catheter, voiding by reflex and wearing an external urinary catheter, and group 4--same as group 3 but using a nonintroducer tip catheter.

RESULTS:

Statistical significance was shown when comparing patients using versus not using the introducer tip catheter regardless of whether an external urinary catheter was worn (p = 0.0121). A greater difference was noted between patients using and not using the introducer tip catheter in the intermittent catheterization only group (p = 0.0093).

CONCLUSIONS:

The introducer tip catheter decreased urinary tract infections in hospitalized men with spinal cord injury on intermittent catheterization.

PMID:
9224337
[Indexed for MEDLINE]

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