The first experience of clinical use of optical urethral catheter Visus MG

A. O. Morozov; Морозов А. О.; M. S. Taratkin; Тараткин М. С.; I. A. Matkovskyi; Матковский И. А.; S. V. Vovdenko; Вовденко С. В.; S. A. Yandiev; Яндиев С. А.; V. Yu. Mikhailov; Михайлов В. Ю.; M. A. Gazimiev; Газимиев М. А.

doi:10.18565/urology.2024.5.23-27

The first experience of clinical use of optical urethral catheter Visus MG

作者: Morozov A.O.¹, Taratkin M.S.¹, Matkovskyi I.A.¹, Vovdenko S.V.¹, Yandiev S.A.¹, Mikhailov V.Y.¹, Gazimiev M.A.¹
隶属关系:
1. Sechenov University
期: 编号 5 (2024)
页面: 23-27
栏目: Original Articles
URL: https://journals.eco-vector.com/1728-2985/article/view/642259
DOI: https://doi.org/10.18565/urology.2024.5.23-27
ID: 642259

如何引用文章

全文:

开放存取

##reader.subscriptionAccessGranted##
受限制的访问

订阅或者付费存取

详细
全文:
作者简介
参考
补充文件
统计

详细

Introduction. The most reliable method for bladder catheterization when necessary is to put a urethral catheter under visual control. However, this requires endoscopic equipment and transportation of patient to a cystoscopy unit or operating room, which is not always possible. To solve these problems, we have developed the optical urethral catheter Visus MG.

Aim. To evaluate the safety and efficacy of a new optical urethral catheter with a portable endoscopic complex.

Materials and methods. The prospective single-center clinical study included men, in whom the first bladder catheterization with a soft urethral catheter was impossible. They underwent insertion of the optical urethral Visus MG catheter under visual control.

Results. A total of 60 men were included in the study. The median age was 70 years, the average prostate volume was 40 cc. Successful repeated catheterization was performed in 57/60 (95%) patients. In 5% cases (n=3), bladder catheterization was unsuccessful due to urethral obliteration.

In 53 (88.3%) men, various surgical methods or manipulations were previously performed, including temporary bladder catheterization in most cases (n=16; 30.7%). The cause of failure of primary catheterization were urethral strictures in 19 (31.7%), benign prostatic hyperplasia in 9 (15%), false passage in 10 (16.7%), bladder neck sclerosis in 10 (16.7%), urethal obliteration in 3 (5%), and the foreign body in the urethra in 1 case (1.7%). In 6 (10%) men, there were signs of iatrogenic urethral trauma with urethrorrhagia due to previous attempts of catheterization, which, however, did not prevent a placement of the urethral catheter under vision control in safe manner.

Conclusion. Bladder catheterization with an optical urethral catheter Visus MG with a portable endoscopic complex was successful in 57/60 (95%) patients after failed primary catheterization, which indicates the high efficiency of the method. The advantages of the technology are its portability, mobility and direct visualization of the urethra.

关键词

bladder catheterization, complications, urethral catheter Visus MG

全文:

俄罗斯联邦, Moscow

参考

Shackley D.C. et al. Variation in the prevalence of urinary catheters: a profile of National Health Service patients in England. BMJ Open. 2017;7(6):e013842. doi: 10.1136/bmjopen-2016-013842.
Bacsu C., Van Zyl S., Rourke K.F.A prospective analysis of consultation for difficult urinary catheter insertion at tertiary care centres in Northern Alberta. Can Urol Assoc J. 2013;7(9–10):343–347. doi: 10.5489/cuaj.574.
Incidence, Cost, Complications and Clinical Outcomes of Iatrogenic Urethral Catheterization Injuries: A Prospective Multi-Institutional Study - PubMed’. Accessed: Aug. 30, 2024. [Online]. Available: https://pubmed.ncbi.nlm.nih.gov/27317985/
Burden of Six Healthcare-Associated Infections on European Population Health: Estimating Incidence-Based Disability-Adjusted Life Years through a Population Prevalence-Based Modelling Study - PubMed’. Accessed: Aug. 30, 2024. [Online]. Available: https://pubmed.ncbi.nlm.nih.gov/27755545/
Chenoweth C.E., Gould C.V., Saint S. Diagnosis, management, and prevention of catheter-associated urinary tract infections. Infect Dis Clin North Am. 2014;28(1):105–119. doi: 10.1016/j.idc.2013.09.002.
Patel S., Antil S. An Easy Solution for Difficult Urethral Catheter: Three-Way Urethral Catheter Insertion Using a Guidewire Technique. Cureus. 2022;14(12):e32563. doi: 10.7759/cureus.32563.
Morozov A.O., Khabib D.S., Yandiev S.A., Gazimiev M.A. Catheter-associated iatrogenic urethral injuries and methods to prevent them. Urologiia. 2024;2:100–104. https://dx.doi.org/10.18565/urology.2024.2.100–104 Russian (Морозов А.О., Хабиб Д.С., Яндиев С.А., Газимиев М.А. Катетер-ассоциированные ятрогенные травмы уретры и способы их предотвращения. Урология. 2024;2:100–104. https://dx.doi.org/10.18565/urology.2024.2.100-104).
Gökalp A., Yildirim İ., Aydur E., Göktepe S., Başal Ş., Yazicioğlu K. How To Manage Acute Urethral False Passage Due To Intermittent Catheterization In Spinal Cord Injured Patients Who Refused Insertion Of An Indwelling Catheter. J. Urol. 2003;169(1):203–206. doi: 10.1016/S0022-5347(05)64068-2
Subramanian V., Soni B.M. Value and Limitations of Urethrotech Catheterisation Device to Manage Difficult Urethral Catheterisation in Male Spinal Cord Injury Patients. Med Devices (Auckl). 2024;17:143–150. doi: 10.2147/MDER.S457784
Bugeja S., Mistry K., Yim I.H.W., Tamimi A., Roberts N., Mundy A.R. A new urethral catheterisation device (UCD) to manage difficult urethral catheterisation. World J Urol. 2019;37(4):595–600. doi: 10.1007/s00345-018-2499-9.