Use of disposable painless silicone urethral catheter during urological surgery for male patients: a randomized controlled study.

IF 2.8 2区 医学 Q2 UROLOGY & NEPHROLOGY
Hong-Wei Zhang, Teng Fan, Dan Shen, Zhi-Li Zhao, Hui-Fang Xi, Wei-Wei Wang, Xiu-Qin Yue, Li Li
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引用次数: 0

Abstract

Objective: The objective of this study is to evaluate the benefits of placing a disposable, painless silicone urethral catheter in male patients undergoing urological surgery.

Methods: A total of 246 male patients who were scheduled to undergo elective urological surgery under general anesthesia were randomly allocated to the observation and control groups. Patients in the observation group received a disposable, painless silicone urethral catheter connected to an analgesic pump infusing 50 mL of 2% lidocaine at 2 mL/h. The control group received a standard silicone urethral catheter post-surgery. Pain scores, the incidence and severity of catheter-related bladder discomfort (CRBD), sedation scores at 0, 1, 6, 12, and 24 h post-surgery, satisfaction scores at 24 h post-surgery, and postoperative complications were recorded.

Results: The incidence of CRBD among patients in the observation group at 1, 6, and 12 h post-surgery was significantly lower than in the control group (at 1 h: 15.25% vs. 28.23%, respectively; p = 0.021; at 6 h: 8.47% vs. 20.16%, respectively; p = 0.010; at 12 h: 4.24% vs. 12.90%, respectively; p = 0.017). The severity of CRBD was also significantly lower in the observation group at 0 and 1 h post-surgery (p = 0.012 and p = 0.026, respectively). Pain and sedation scores at 1, 6, and 12 h post-surgery were significantly lower among patients in the observation group compared to those in the control group. Although there were no significant differences in postoperative complications, patients in the observation group reported significantly higher satisfaction scores (p < 0.001).

Conclusions: The placement of a disposable painless silicone urethral catheter in male patients during urological surgery was effective in reducing the incidence and severity of postoperative CRBD, relieving pain, and improving patient satisfaction without clinically significant adverse reactions.

研究目的本研究旨在评估为接受泌尿外科手术的男性患者置入一次性无痛硅胶尿道导管的益处:共有 246 名男性患者计划在全身麻醉下接受择期泌尿外科手术,他们被随机分配到观察组和对照组。观察组患者接受一次性无痛硅胶尿道导管,该导管与镇痛泵相连,以 2 毫升/小时的速度注入 50 毫升 2% 利多卡因。对照组术后使用标准硅胶尿道导管。记录疼痛评分、导尿管相关膀胱不适(CRBD)的发生率和严重程度、术后 0、1、6、12 和 24 小时的镇静评分、术后 24 小时的满意度评分以及术后并发症:结果:观察组患者术后 1、6 和 12 h CRBD 发生率明显低于对照组(1 h:分别为 15.25% vs. 28.23%;P = 0.021;6 h:分别为 8.47% vs. 20.16%;P = 0.010;12 h:分别为 4.24% vs. 12.24%;P = 0.010):分别为 4.24% 对 12.90%;p = 0.017)。观察组在手术后 0 小时和 1 小时的 CRBD 严重程度也明显较低(分别为 p = 0.012 和 p = 0.026)。与对照组相比,观察组患者在术后 1、6 和 12 小时的疼痛和镇静评分明显较低。虽然在术后并发症方面没有明显差异,但观察组患者的满意度评分明显更高(P 结论:观察组患者的满意度评分明显高于对照组):在泌尿外科手术中为男性患者置入一次性无痛硅胶尿道导管能有效降低术后 CRBD 的发生率和严重程度、缓解疼痛并提高患者满意度,且无明显临床不良反应。
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来源期刊
World Journal of Urology
World Journal of Urology 医学-泌尿学与肾脏学
CiteScore
6.80
自引率
8.80%
发文量
317
审稿时长
4-8 weeks
期刊介绍: The WORLD JOURNAL OF UROLOGY conveys regularly the essential results of urological research and their practical and clinical relevance to a broad audience of urologists in research and clinical practice. In order to guarantee a balanced program, articles are published to reflect the developments in all fields of urology on an internationally advanced level. Each issue treats a main topic in review articles of invited international experts. Free papers are unrelated articles to the main topic.
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