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dc.contributor.authorDavis, Niall F-
dc.contributor.authorBhatt, N R-
dc.contributor.authorMacCraith, E-
dc.contributor.authorFlood, H D-
dc.contributor.authorMooney, R-
dc.contributor.authorLeonard, G-
dc.contributor.authorWalsh, M T-
dc.identifier.citationWorld Journal of Urology 2019; online first: 24 April-
dc.description.abstractThere are no prospective data describing the incidence and spectrum of long-term complications associated with traumatic urethral catheterisation (UC). We prospectively monitored the long-term clinical outcomes and complications of patients with traumatic UC injuries. A prospective study at two tertiary university hospitals was performed to record all referrals for iatrogenic urethral injuries caused by UC. Long-term follow-up was prospectively maintained by regular outpatient department visits and by monitoring all urological interventions and their outcomes from urinary catheter-related injuries. The incidence of traumatic UC was 13.4 per 1000 catheters inserted in male patients and 37 iatrogenic urethral injuries were recorded. The mean age was 74 ± 12 years and the mean length of follow-up was 37 ± 3.7 months. Urethral injuries were caused by inflating the catheter anchoring balloon in the urethra (n = 26) or by creating a false passage with the catheter tip (n = 11). In total, 29 patients (78%) developed urethral stricture disease during their follow-up; of which 11 have required at least one urethral dilation and two have required one urethrotomy. Three patients required long-term indwelling suprapubic catheter placement and seven patients opted for a long-term indwelling urethral catheter. There were eight patient mortalities; one of which was due to severe urosepsis resulting from catheter balloon inflation in the urethra. Catheter-related injuries are associated with significant long-term complications in this vulnerable patient cohort. In future, such injuries may be preventable if the safety profile of the urinary catheter is modified.-
dc.subjectIatrogenic injury-
dc.subjectUrethral stricture-
dc.subjectUrinary catheter-
dc.titleLong-term outcomes of urethral catheterisation injuries: a prospective multi-institutional study.-
dc.typeJournal Article-
dc.identifier.journaltitleWorld Journal of Urology-
dc.identifier.affiliationDepartment of Urology, Tallaght Hospital, Dublin, Ireland-
dc.identifier.affiliationDepartment of Urology, St Vincent's University Hospital, Dublin, Ireland-
dc.identifier.affiliationSchool of Engineering, Bernal Institute and the Health Research Institute, University of Limerick, Limerick, Ireland-
dc.identifier.affiliationDepartment of Urology, Austin Health, Heidelberg, Victoria, Australiaen
dc.identifier.affiliationRoyal College of Surgeons in Ireland (RCSI), Dublin, Irelanden
dc.identifier.affiliationDepartment of Urology, Beaumont and Connolly Hospitals, Dublin, Irelanden
dc.type.austinJournal Article-
item.fulltextNo Fulltext-
item.openairetypeJournal Article-
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