Farahani Mojtaba, Dehghani Keramat, Shojaei Parisa
General Practitioner, Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.
Department of Urology, Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.
Ann Med Surg (Lond). 2024 Mar 18;86(8):4488-4494. doi: 10.1097/MS9.0000000000001913. eCollection 2024 Aug.
In this study, the effect of Pezzer (as a Pezzer catheter) and three-way Foley catheters, used for suprapubic catheterization after open prostatectomy, was investigated in terms of early incidence of painful bladder spasms.
In this single-blind clinical trial study, 160 patients diagnosed with LUTS/BPH were placed in two groups of 80 Pezzer catheter (Pezzer(size 28)) and three-way Foley catheters (size 24) for suprapubic catheterization. The evaluated variables in this study are age, prostate weight, narcotics dose, Spasm frequency, International Prostate Symptom Score (IPSS), visual analogue scale (VAS), catheterization period.
The frequency of spasm in Foley group was significantly lower (4.4±7.26 vs. 6.28±4.4; value=0.000). There was no significant difference between the two groups regarding the frequency of dysuria ( value=0.3).
The findings of our study showed that despite slightly favourable results in using suprapubic Foley catheter compared to Pezzer catheters in patients with open prostatectomy in terms of pain and spasm frequency, there was no significant difference between the use of these two types of catheters.
在本研究中,就膀胱痉挛早期发生率而言,对用于开放性前列腺切除术后耻骨上导尿的Pezzer导管(作为Pezzer导管)和三腔Foley导管的效果进行了研究。
在这项单盲临床试验研究中,将160例诊断为下尿路症状/良性前列腺增生的患者分为两组,每组80例,分别使用Pezzer导管(28号Pezzer)和三腔Foley导管(24号)进行耻骨上导尿。本研究中评估的变量有年龄、前列腺重量、麻醉剂剂量、痉挛频率、国际前列腺症状评分(IPSS)、视觉模拟量表(VAS)、导尿期。
Foley组的痉挛频率显著更低(4.4±7.26对6.28±4.4;P值=0.000)。两组间尿痛频率无显著差异(P值=0.3)。
我们的研究结果表明,尽管在开放性前列腺切除术后的患者中,就疼痛和痉挛频率而言,耻骨上Foley导管的使用结果比Pezzer导管略好,但这两种类型导管的使用之间没有显著差异。