Most Read Articles
Pearl Toh, 5 days ago
Mepolizumab added on to standard of care for patients with severe eosinophilic asthma better improves health-related quality of life (HRQOL), along with improved asthma symptoms and lung function compared with placebo, according to the MUSCA* study.
Pearl Toh, 4 days ago
Treatment with abiraterone acetate and prednisone for metastatic prostate cancer (mPC) in patients who responded poorly to initial androgen-deprivation therapy (ADT) showed encouraging results with favourable overall survival (OS) to historical controls, although the prespecified criteria for a positive result was not met , according to the S1014* trial.
3 days ago
Blood pressure (BP) ≥140/90 mm Hg appears to increase the risk of maternal complications and adverse foetal outcomes, irrespective of the number of medications used, a study suggests. However, the greatest risk is observed among pregnant women taking multiple agents and whose BP levels are within the aforementioned range.
5 days ago
Relapse after randomization is more likely to occur in patients with severe baseline hallucinations, reports a new study. In addition, the presence of baseline hallucinations is associated with a greater risk of relapse after discontinuation of risperidone vs continued risperidone treatment.

Voiding during catheter insertion attenuates pain in males

15 days ago

Voiding during insertion of the catheter into the urethra may effectively reduce the pain associated with male urethral catheterization, a study suggests.

The prospective study randomly assigned 96 men (median age 66 years) who were referred for multichannel urodynamic study to two groups, according to the catheter insertion technique. Patients in the first group were instructed to void during catheterization, while those in the second group received no guidance prior to or during the procedure.

None of the patients reported use of analgesics within the previous 24 hours, active urinary tract infection, having an indwelling urethral catheter, pre-existing urethral pain, and known urethral stricture or inability to cooperate with pain assessment due to mental disorders.

Using a 0 to 10 visual analogue scale (VAS), pain was evaluated at the following time points: prior and immediately after instillation of the lubricant gel into the urethra, immediately after the insertion of the catheter, and 15 minutes after the test.

Patient characteristics, including demographic, clinical and urodynamic parameters, were similar across the study groups. The median VAS pain score was notably different between groups 1 and 2, but only during catheterization (2; interquartile range, 1 to 3 vs 4; interquartile range, 3 to 5; p<0.001). The reported scores at the other time points were similar between the two groups.

Urethral catheterization is the procedure that involves placement of catheters to drain the bladder. It is performed to drain the bladder during and after surgical procedures requiring anaesthetics, to assess urinary output in critically ill-patients, to collect reliable urine specimens, for urodynamics evaluation, for radiographic studies (eg, cystograms), to assess residual urine, and for obtaining samples for urinalysis in infants. [East Cent Afr J Surg 2009;14:18–24]

While common, urethral catheterization is not without complications. Catheter-associated urinary tract infection is the most common nosocomial infection, accounting for up to 40 percent of all nosocomial infection in US hospitals each year. Prevention of these infections and other complications of catheterization starts with restricting catheterization to those patients for whom it is appropriate. [East Cent Afr J Surg 2009;14:18–24; N Engl J Med 2006;354:21–24]

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Most Read Articles
Pearl Toh, 5 days ago
Mepolizumab added on to standard of care for patients with severe eosinophilic asthma better improves health-related quality of life (HRQOL), along with improved asthma symptoms and lung function compared with placebo, according to the MUSCA* study.
Pearl Toh, 4 days ago
Treatment with abiraterone acetate and prednisone for metastatic prostate cancer (mPC) in patients who responded poorly to initial androgen-deprivation therapy (ADT) showed encouraging results with favourable overall survival (OS) to historical controls, although the prespecified criteria for a positive result was not met , according to the S1014* trial.
3 days ago
Blood pressure (BP) ≥140/90 mm Hg appears to increase the risk of maternal complications and adverse foetal outcomes, irrespective of the number of medications used, a study suggests. However, the greatest risk is observed among pregnant women taking multiple agents and whose BP levels are within the aforementioned range.
5 days ago
Relapse after randomization is more likely to occur in patients with severe baseline hallucinations, reports a new study. In addition, the presence of baseline hallucinations is associated with a greater risk of relapse after discontinuation of risperidone vs continued risperidone treatment.