Study to look for the causes and consequences of failed urethral catheterisations and injuries caused due to the same and the effect of educational intervention directed towards the attending doctors to bring down the incidence

Not yet recruiting

Conditions: All cases of urethral catheterization failures and related injuries in men of 18 years of age or above attended to by the urology department

Brief Summary: Urethral catheterization (UC) in male patients is more challenging due to the tortuous anatomy of the male urethra and due to prostatic enlargement in older men that may result in failure to catheterize or urethral injury. Apart from this, other factors may prevent successful catheterization or predispose to urethral injury such as include preexisting urethral stricture disease, an obstructing prostatic urethral calculus, etc.The most common methods of injury noted during traumatic UC are inadvertent balloon inflation in the urethra and/ or false passage creation during insertion [ 2 ]. Several short-term and long-term complications are associated with such urethral injuries such as acute urinary retention, urosepsis, bleeding and urethral stricture disease. These are potentially preventable morbidities, and are related to the level of experience of and training received by the physician. Furthermore, methods to prevent catheter related injuries have received little attention. Although studies exist from other countries, there are no studies from India indicating the burden of this problem.

Recruitment & Eligibility

Inclusion Criteria

All cases of urethral catheterization failures and related injuries in men of 18 years of age or above attended to by the urology department.

Exclusion Criteria

Primary Outcome Measures

Name	Time	Method
To determine the incidence of failed urethral catheterization and trauma secondary to Urethral catheterization in JIPMER	patients are followed up for stricture development and other complications on a 3-monthly interval using uroflowmetry for a minimumperiod of six months. The patients will be followed up for development of short and long term complications and the presence and treatment of these complications shall be recorded.

Secondary Outcome Measures

Name	Time	Method
1. To determine the factors (both patient and clinician related) associated with failed UC and UC associated injuries.	2. To determine the nature and frequency of short and long term complications associated with UC related injuries.

Locations (1): Jawaharlal Institute of Post graduate medical education and research
🇮🇳
Pondicherry, PONDICHERRY, India
Jawaharlal Institute of Post graduate medical education and research
🇮🇳Pondicherry, PONDICHERRY, India
B SRI HARSHA
Principal investigator
9098312903
bokkaharsha7@gmail.com