Urological concerns: Should trans-urethral catheter be located over or under the thigh?

Maturitas. 2008 Nov 20;61(3):285-6. doi: 10.1016/j.maturitas.2008.07.014. Epub 2008 Oct 1.

Abstract

Introduction: Bladder catheterization is a common practice after several surgical procedures; a wrong trans-urethral catheter position can affect the outcomes of some urological maneuvers. We assess with a physical model the variation of intra-vesical pressures due to different locations of the catheter.

Materials and methods: Using a plastic bag fulfilled with 5l of normal saline, we try to reproduce bladder condition assessing pressures in case of catheter located over or under the thigh.

Results: In case of catheter over the thigh, the flow of liquid is not allowed, and only a pressure of 23 cm of water induces the passage of fluid.

Conclusion: A wrong catheter position may adversely affect intravesical pressures; this finding has to be taken into consideration, especially when dealing with post-urological surgery catheterization.

MeSH terms

  • Humans
  • Urinary Catheterization / methods*