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For acute urinary retention, treatment requires urgent placement of a urinary catheter. A permanent urinary catheter may cause discomfort and pain that can last several days. Older people with ongoing problems may require continued intermittent self catheterization (CISC).
Common indications for urinary catheterization include acute or chronic urinary retention (which can damage the kidneys) from conditions such as benign prostatic hyperplasia, orthopedic procedures that may limit a patient's movement, the need for accurate monitoring of input and output (such as in an ICU), urinary incontinence that may compromise the ability to heal wounds, and the effects of ...
Indwelling catheters/IDCs should be used only when indicated, as use increases the risk of catheter-associated urinary tract infection (UTI) and other adverse effects. [1] While female sex is generally recognised as a risk factor for UTIs, the differences in biological sex are reduced while carrying catheters. [2]
A suprapubic cystostomy or suprapubic catheter (SPC) [1] (also known as a vesicostomy or epicystostomy) is a surgically created connection between the urinary bladder and the skin used to drain urine from the bladder in individuals with obstruction of normal urinary flow.
Although catheter use should be minimized in all patients, particularly those at higher risk of CAUTI and mortality (e.g. the elderly or those with impaired immunity), [2] a meta analysis suggests there is insufficient evidence to determine the value of different policies for replacing long term urinary catheters on patient outcomes. [3]
The treatment involves inserting a special microwave urinary catheter into the hyperplastic prostatic urethra. The microwave antenna within the catheter then emits microwaves to heat and destroy the surrounding prostatic tissue. [citation needed] The procedure can take from 30 minutes to one hour and is well tolerated by patients.
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