Hosseinpour Mehrdad, Noori Saeed, Amir-Beigi Mahdieh, Pourfakharan Mohammad Hassan, Ehteram Hassan, Hamsayeh Mohadese
Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran.
Urol Ann. 2014 Jul;6(3):198-201. doi: 10.4103/0974-7796.134257.
In this study, we attempt to identify the most appropriate catheter (silicone vs. latex) for short-term urinary catheterization. We compared the post-operative clinico-pathological complications between latex and silicone for short term catheterization in rabbits with hypospadias.
Forty rabbits were used in our study to compare complications of catheterization. They were divided in two groups. Hypospadias like defect was created by a 1 cm long excision of the ventral urethra. For urethroplasty, we used tubularized incised plate technique. Latex and silicon catheters were used in groups 1 and 2, respectively. Post-operatively, routine laboratory urine test and complications (allergy, infection, bleeding) were compared in groups.
A total of 40 rabbits underwent hypospadias repair. Findings showed that there were no significant differences between groups based on urine test indices (P = NS). Urinary tract infection rate was 10% (2 rabbits) in latex and 0% in silicone groups (P = NS). There were no significant differences between groups regarding of cystitis grades between study groups (P = NS).
It seems that urinary tract catheterization with latex catheters is a safe, feasible, and in-expensive procedure for short-term post-operative course in hypospadias surgery in patients without latex hypersensitivity.
在本研究中,我们试图确定用于短期导尿的最合适导管(硅胶导管与乳胶导管)。我们比较了乳胶导管和硅胶导管在尿道下裂兔短期导尿术后的临床病理并发症。
我们的研究使用了40只兔子来比较导尿的并发症。它们被分为两组。通过切除1厘米长的腹侧尿道制造尿道下裂样缺损。对于尿道成形术,我们采用管状切开板技术。第1组和第2组分别使用乳胶导管和硅胶导管。术后,比较两组的常规实验室尿液检查和并发症(过敏、感染、出血)情况。
共有40只兔子接受了尿道下裂修复术。结果显示,基于尿液检查指标,两组之间无显著差异(P = 无显著性差异)。乳胶组的尿路感染率为10%(2只兔子),硅胶组为0%(P = 无显著性差异)。研究组之间在膀胱炎分级方面两组无显著差异(P = 无显著性差异)。
对于无乳胶过敏的患者,在尿道下裂手术的短期术后过程中,使用乳胶导管进行尿路导尿似乎是一种安全、可行且廉价的方法。