The Experts below are selected from a list of 327 Experts worldwide ranked by ideXlab platform

Stewart R Walsh - One of the best experts on this subject based on the ideXlab platform.

  • Suprapubic versus transurethral bladder Catheterization following pelvic surgery
    Current Opinion in Obstetrics & Gynecology, 2013
    Co-Authors: Donagh Healy, Colin A Walsh, Stewart R Walsh
    Abstract:

    Purpose of review There is uncertainty regarding the optimal method of achieving bladder drainage at the time of gynaecologic surgery. As both transurethral Catheterization (TUC) and Suprapubic Catheterization (SPC) have the potential to cause harm, it is important that gynaecologists have accurate evidence upon which to base their bladder drainage policy. Recent findings Several clinical trials and meta-analyses have compared TUC with SPC in abdominal and pelvic surgery. Most recently, a large meta-analysis pooled the results of 12 gynaecological trials and found that the use of SPC leads to fewer urinary tract infections (UTIs) without any major complications and without increasing the duration of Catheterization or length of hospital stay. Summary Robust evidence shows that SPC use leads to fewer UTIs when compared with TUC use in gynaecologic surgery. However, SPC use is associated with an increased incidence of minor complications. Future research should aim to assess the acceptability of both SPC and TUC to patients who are undergoing gynaecologic surgery. The quality of similar data in relation to rectal pelvic surgery is poor in comparison to the data on gynaecologic surgery.

  • Suprapubic compared with transurethral bladder Catheterization for gynecologic surgery a systematic review and meta analysis
    Obstetrics & Gynecology, 2012
    Co-Authors: Eibhlin F Healy, Colin A Walsh, Amanda Cotter, Stewart R Walsh
    Abstract:

    OBJECTIVE: Suprapubic Catheterization is commonly used for postoperative bladder drainage after gynecologic procedures. However, recent studies have suggested an increased rate of complications compared with urethral Catheterization. We undertook a systematic review and meta-analysis of randomized controlled trials comparing Suprapubic Catheterization and urethral Catheterization in gynecologic populations. DATA SOURCES: PubMed, EMBASE, CINAHL, Google Scholar, and trial registries were searched from 1966 to March 2012 for eligible randomized controlled trials comparing postoperative Suprapubic Catheterization and urethral Catheterization in gynecologic patients. We used these search terms: “catheter,” “supra(-)pubic catheter,” “urinary catheter,” “gyn(a)ecological,” “Catheterization techniques gyn(a)ecological surgery,” “transurethral catheter,” and “bladder drainage.” No language restrictions were applied. METHODS AND STUDY SELECTION: The primary outcome was urinary tract infection. Secondary outcomes were the need for reCatheterization, duration of Catheterization, catheter-related complications, and duration of hospital stay. Pooled effect size estimates were calculated using the random effects model from DerSimonian and Laird. TABULATION, INTEGRATION, AND RESULTS: In total, 12 eligible randomized controlled trials were included in the analysis (N1,300 patients). Suprapubic Catheterization was associated with a significant reduction in postoperative urinary tract infections (20% compared with 31%, pooled odds ratio [OR] 0.31, 95% confidence interval [CI] 0.185–0.512, P<.01) but an increased risk of complications (29% compared with 11%, pooled OR 4.14, 95% CI 1.327– 12.9, P.01). Complications were mostly related to catheter tube malfunction with no visceral injuries reported. No differences in the rate of reCatheterization or hospital stay were demonstrated. Robust patient satisfaction and costeffectiveness data are lacking. CONCLUSION: Based on the best available evidence, no

Hang Wang - One of the best experts on this subject based on the ideXlab platform.

  • an optimized transurethral Catheterization cystometry in mice and comparison with classic Suprapubic Catheterization cystometry
    Neurourology and Urodynamics, 2017
    Co-Authors: Zhuoyi Xiang, Tingchang Bian, Guomin Wang, Jianming Guo, Hang Wang
    Abstract:

    Aims The aim of this study is to establish an optimized, minimally invasive transurethral Catheterization cystometry (TUCC) and a novel urethral pressure profile (UPP) measurement for mice. Methods The optimized TUCC and the UPP measurement were first established. This optimized TUCC was then performed in 16 anesthetized female mice and compared with the Suprapubic Catheterization cystometry (SCC) in parallel after Suprapubic catheters implantation (SCI; on zero, third, and seventh day, respectively). Finally, the optimized TUCC and novel UPP measurement were applied to investigate in another eight mice of partial bladder outlet obstruction (pBOO) model. The urodynamic parameters including micturition pressure (MP), basal pressure (BP), threshold pressure (TP), bladder capacity (BC), micturition volume (MV), residual urine (RV), bladder compliance (COM), maximum urethral pressure (MUP), bladder pressure curve and UPP were recorded. Statistical cross-comparisons of parameters for two kinds of cystometries and pBOO model were performed. Results Compared with the optimized TUCC before SCI, the MV, RV, BC, and MP decreased significantly on the seventh day after SCI (270.4-132.5 µL, 46.13-20.09 µL, 316.4-152.5 µL, 30.01-24.34 cmH20, respectively). After SCI, the BP, MP, TP, MV, RV, BC, and COM showed no significant difference between the TUCC and SCC at the same time point. The MUP increased significantly after pBOO operation (19.1-46.6 cmH20, P < 0.05). Conclusions The minimally invasive TUCC along with UPP measurement could be widely applied to study the bladder function of mice as a feasible, repeatable, and accessible method.

  • An optimized transurethral Catheterization cystometry in mice and comparison with classic Suprapubic Catheterization cystometry
    Neurourology and urodynamics, 2017
    Co-Authors: Zhuoyi Xiang, Tingchang Bian, Guomin Wang, Jianming Guo, Hang Wang
    Abstract:

    Aims The aim of this study is to establish an optimized, minimally invasive transurethral Catheterization cystometry (TUCC) and a novel urethral pressure profile (UPP) measurement for mice. Methods The optimized TUCC and the UPP measurement were first established. This optimized TUCC was then performed in 16 anesthetized female mice and compared with the Suprapubic Catheterization cystometry (SCC) in parallel after Suprapubic catheters implantation (SCI; on zero, third, and seventh day, respectively). Finally, the optimized TUCC and novel UPP measurement were applied to investigate in another eight mice of partial bladder outlet obstruction (pBOO) model. The urodynamic parameters including micturition pressure (MP), basal pressure (BP), threshold pressure (TP), bladder capacity (BC), micturition volume (MV), residual urine (RV), bladder compliance (COM), maximum urethral pressure (MUP), bladder pressure curve and UPP were recorded. Statistical cross-comparisons of parameters for two kinds of cystometries and pBOO model were performed. Results Compared with the optimized TUCC before SCI, the MV, RV, BC, and MP decreased significantly on the seventh day after SCI (270.4-132.5 µL, 46.13-20.09 µL, 316.4-152.5 µL, 30.01-24.34 cmH20, respectively). After SCI, the BP, MP, TP, MV, RV, BC, and COM showed no significant difference between the TUCC and SCC at the same time point. The MUP increased significantly after pBOO operation (19.1-46.6 cmH20, P 

Hugo W F Van Eijndhoven - One of the best experts on this subject based on the ideXlab platform.

Zhuoyi Xiang - One of the best experts on this subject based on the ideXlab platform.

  • an optimized transurethral Catheterization cystometry in mice and comparison with classic Suprapubic Catheterization cystometry
    Neurourology and Urodynamics, 2017
    Co-Authors: Zhuoyi Xiang, Tingchang Bian, Guomin Wang, Jianming Guo, Hang Wang
    Abstract:

    Aims The aim of this study is to establish an optimized, minimally invasive transurethral Catheterization cystometry (TUCC) and a novel urethral pressure profile (UPP) measurement for mice. Methods The optimized TUCC and the UPP measurement were first established. This optimized TUCC was then performed in 16 anesthetized female mice and compared with the Suprapubic Catheterization cystometry (SCC) in parallel after Suprapubic catheters implantation (SCI; on zero, third, and seventh day, respectively). Finally, the optimized TUCC and novel UPP measurement were applied to investigate in another eight mice of partial bladder outlet obstruction (pBOO) model. The urodynamic parameters including micturition pressure (MP), basal pressure (BP), threshold pressure (TP), bladder capacity (BC), micturition volume (MV), residual urine (RV), bladder compliance (COM), maximum urethral pressure (MUP), bladder pressure curve and UPP were recorded. Statistical cross-comparisons of parameters for two kinds of cystometries and pBOO model were performed. Results Compared with the optimized TUCC before SCI, the MV, RV, BC, and MP decreased significantly on the seventh day after SCI (270.4-132.5 µL, 46.13-20.09 µL, 316.4-152.5 µL, 30.01-24.34 cmH20, respectively). After SCI, the BP, MP, TP, MV, RV, BC, and COM showed no significant difference between the TUCC and SCC at the same time point. The MUP increased significantly after pBOO operation (19.1-46.6 cmH20, P < 0.05). Conclusions The minimally invasive TUCC along with UPP measurement could be widely applied to study the bladder function of mice as a feasible, repeatable, and accessible method.

  • An optimized transurethral Catheterization cystometry in mice and comparison with classic Suprapubic Catheterization cystometry
    Neurourology and urodynamics, 2017
    Co-Authors: Zhuoyi Xiang, Tingchang Bian, Guomin Wang, Jianming Guo, Hang Wang
    Abstract:

    Aims The aim of this study is to establish an optimized, minimally invasive transurethral Catheterization cystometry (TUCC) and a novel urethral pressure profile (UPP) measurement for mice. Methods The optimized TUCC and the UPP measurement were first established. This optimized TUCC was then performed in 16 anesthetized female mice and compared with the Suprapubic Catheterization cystometry (SCC) in parallel after Suprapubic catheters implantation (SCI; on zero, third, and seventh day, respectively). Finally, the optimized TUCC and novel UPP measurement were applied to investigate in another eight mice of partial bladder outlet obstruction (pBOO) model. The urodynamic parameters including micturition pressure (MP), basal pressure (BP), threshold pressure (TP), bladder capacity (BC), micturition volume (MV), residual urine (RV), bladder compliance (COM), maximum urethral pressure (MUP), bladder pressure curve and UPP were recorded. Statistical cross-comparisons of parameters for two kinds of cystometries and pBOO model were performed. Results Compared with the optimized TUCC before SCI, the MV, RV, BC, and MP decreased significantly on the seventh day after SCI (270.4-132.5 µL, 46.13-20.09 µL, 316.4-152.5 µL, 30.01-24.34 cmH20, respectively). After SCI, the BP, MP, TP, MV, RV, BC, and COM showed no significant difference between the TUCC and SCC at the same time point. The MUP increased significantly after pBOO operation (19.1-46.6 cmH20, P 

Colin A Walsh - One of the best experts on this subject based on the ideXlab platform.

  • Suprapubic versus transurethral bladder Catheterization following pelvic surgery
    Current Opinion in Obstetrics & Gynecology, 2013
    Co-Authors: Donagh Healy, Colin A Walsh, Stewart R Walsh
    Abstract:

    Purpose of review There is uncertainty regarding the optimal method of achieving bladder drainage at the time of gynaecologic surgery. As both transurethral Catheterization (TUC) and Suprapubic Catheterization (SPC) have the potential to cause harm, it is important that gynaecologists have accurate evidence upon which to base their bladder drainage policy. Recent findings Several clinical trials and meta-analyses have compared TUC with SPC in abdominal and pelvic surgery. Most recently, a large meta-analysis pooled the results of 12 gynaecological trials and found that the use of SPC leads to fewer urinary tract infections (UTIs) without any major complications and without increasing the duration of Catheterization or length of hospital stay. Summary Robust evidence shows that SPC use leads to fewer UTIs when compared with TUC use in gynaecologic surgery. However, SPC use is associated with an increased incidence of minor complications. Future research should aim to assess the acceptability of both SPC and TUC to patients who are undergoing gynaecologic surgery. The quality of similar data in relation to rectal pelvic surgery is poor in comparison to the data on gynaecologic surgery.

  • Suprapubic compared with transurethral bladder Catheterization for gynecologic surgery a systematic review and meta analysis
    Obstetrics & Gynecology, 2012
    Co-Authors: Eibhlin F Healy, Colin A Walsh, Amanda Cotter, Stewart R Walsh
    Abstract:

    OBJECTIVE: Suprapubic Catheterization is commonly used for postoperative bladder drainage after gynecologic procedures. However, recent studies have suggested an increased rate of complications compared with urethral Catheterization. We undertook a systematic review and meta-analysis of randomized controlled trials comparing Suprapubic Catheterization and urethral Catheterization in gynecologic populations. DATA SOURCES: PubMed, EMBASE, CINAHL, Google Scholar, and trial registries were searched from 1966 to March 2012 for eligible randomized controlled trials comparing postoperative Suprapubic Catheterization and urethral Catheterization in gynecologic patients. We used these search terms: “catheter,” “supra(-)pubic catheter,” “urinary catheter,” “gyn(a)ecological,” “Catheterization techniques gyn(a)ecological surgery,” “transurethral catheter,” and “bladder drainage.” No language restrictions were applied. METHODS AND STUDY SELECTION: The primary outcome was urinary tract infection. Secondary outcomes were the need for reCatheterization, duration of Catheterization, catheter-related complications, and duration of hospital stay. Pooled effect size estimates were calculated using the random effects model from DerSimonian and Laird. TABULATION, INTEGRATION, AND RESULTS: In total, 12 eligible randomized controlled trials were included in the analysis (N1,300 patients). Suprapubic Catheterization was associated with a significant reduction in postoperative urinary tract infections (20% compared with 31%, pooled odds ratio [OR] 0.31, 95% confidence interval [CI] 0.185–0.512, P<.01) but an increased risk of complications (29% compared with 11%, pooled OR 4.14, 95% CI 1.327– 12.9, P.01). Complications were mostly related to catheter tube malfunction with no visceral injuries reported. No differences in the rate of reCatheterization or hospital stay were demonstrated. Robust patient satisfaction and costeffectiveness data are lacking. CONCLUSION: Based on the best available evidence, no