Clinical efficacy of retrograde urethrography-assisted urethral catheterization after failed conventional urethral catheterization
Abstract Background Several approaches for urethral catheterization after the failure of initial urethral catheterization have been introduced. However, standard procedures regarding what should be done after failed conventional urethral catheterization have been not established. Therefore, we inves...
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doaj-de8ad8f6d7d6446bbeeee8d1944bb97c2021-02-07T12:26:44ZengBMCBMC Urology1471-24902021-02-012111610.1186/s12894-021-00788-6Clinical efficacy of retrograde urethrography-assisted urethral catheterization after failed conventional urethral catheterizationSi Hyun Kim0Hee Jo Yang1Doo Sang Kim2Chang Ho Lee3Youn Soo Jeon4Ki Hong Kim5Department of Urology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of MedicineDepartment of Urology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of MedicineDepartment of Urology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of MedicineDepartment of Urology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of MedicineDepartment of Urology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of MedicineDepartment of Urology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of MedicineAbstract Background Several approaches for urethral catheterization after the failure of initial urethral catheterization have been introduced. However, standard procedures regarding what should be done after failed conventional urethral catheterization have been not established. Therefore, we investigated the clinical efficacy of retrograde urethrography (RGU)-assisted urethral catheterization after failed conventional urethral catheterization. Methods Between July 2015 and July 2018, 136 patients who underwent RGU-assisted urethral catheterization after failed conventional urethral catheterization were included in this retrospective study. Patients’ clinical data, such as age, catheterization site, and previous history of urologic operations, were collected and assessed via chart review. Univariate and multivariate logistic regression analyses were performed to identify predictive factors for the failure of this procedure. Results Of the 136 patients, 94 (69.1%) experienced successful RGU-assisted urethral catheterization. Having a previous history of urologic operations, such as urethrotomy and transurethral prostatectomy, was identified as an independent predictive factor for the failure of RGU-assisted urethral catheterization (odds ratio = 9.453, 95% confidence interval = 2.703–33.063, p < 0.001). Conclusions RGU-assisted urethral catheterization can be one of the modalities for providing successful catheterization after failed conventional urethral catheterization. We believe that RGU-assisted urethral catheterization can be an effective procedure if patients have no previous history of urologic operations, such as urethrotomy and transurethral prostatectomy. Trial registration Soonchunhyang university institutional review board approval (No. 2018-08-021).https://doi.org/10.1186/s12894-021-00788-6Retrograde urethrographyUrethral catheterizationUrethral injury |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Si Hyun Kim Hee Jo Yang Doo Sang Kim Chang Ho Lee Youn Soo Jeon Ki Hong Kim |
spellingShingle |
Si Hyun Kim Hee Jo Yang Doo Sang Kim Chang Ho Lee Youn Soo Jeon Ki Hong Kim Clinical efficacy of retrograde urethrography-assisted urethral catheterization after failed conventional urethral catheterization BMC Urology Retrograde urethrography Urethral catheterization Urethral injury |
author_facet |
Si Hyun Kim Hee Jo Yang Doo Sang Kim Chang Ho Lee Youn Soo Jeon Ki Hong Kim |
author_sort |
Si Hyun Kim |
title |
Clinical efficacy of retrograde urethrography-assisted urethral catheterization after failed conventional urethral catheterization |
title_short |
Clinical efficacy of retrograde urethrography-assisted urethral catheterization after failed conventional urethral catheterization |
title_full |
Clinical efficacy of retrograde urethrography-assisted urethral catheterization after failed conventional urethral catheterization |
title_fullStr |
Clinical efficacy of retrograde urethrography-assisted urethral catheterization after failed conventional urethral catheterization |
title_full_unstemmed |
Clinical efficacy of retrograde urethrography-assisted urethral catheterization after failed conventional urethral catheterization |
title_sort |
clinical efficacy of retrograde urethrography-assisted urethral catheterization after failed conventional urethral catheterization |
publisher |
BMC |
series |
BMC Urology |
issn |
1471-2490 |
publishDate |
2021-02-01 |
description |
Abstract Background Several approaches for urethral catheterization after the failure of initial urethral catheterization have been introduced. However, standard procedures regarding what should be done after failed conventional urethral catheterization have been not established. Therefore, we investigated the clinical efficacy of retrograde urethrography (RGU)-assisted urethral catheterization after failed conventional urethral catheterization. Methods Between July 2015 and July 2018, 136 patients who underwent RGU-assisted urethral catheterization after failed conventional urethral catheterization were included in this retrospective study. Patients’ clinical data, such as age, catheterization site, and previous history of urologic operations, were collected and assessed via chart review. Univariate and multivariate logistic regression analyses were performed to identify predictive factors for the failure of this procedure. Results Of the 136 patients, 94 (69.1%) experienced successful RGU-assisted urethral catheterization. Having a previous history of urologic operations, such as urethrotomy and transurethral prostatectomy, was identified as an independent predictive factor for the failure of RGU-assisted urethral catheterization (odds ratio = 9.453, 95% confidence interval = 2.703–33.063, p < 0.001). Conclusions RGU-assisted urethral catheterization can be one of the modalities for providing successful catheterization after failed conventional urethral catheterization. We believe that RGU-assisted urethral catheterization can be an effective procedure if patients have no previous history of urologic operations, such as urethrotomy and transurethral prostatectomy. Trial registration Soonchunhyang university institutional review board approval (No. 2018-08-021). |
topic |
Retrograde urethrography Urethral catheterization Urethral injury |
url |
https://doi.org/10.1186/s12894-021-00788-6 |
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