We describe 5 men with urinary retention and indwelling urethral catheters who were treated with repetitive prostatic massage, antimicrobials, alpha blockers, and--in 2 cases--finasteride. We retrospectively reviewed the charts of all patients presenting to the genitourinary clinic with indwelling urinary catheters during a 1-year period. Five men (mean age, 70 years; range, 64-76; SD 4.47) pre...

INTRODUCTION Ureter obstruction caused by a retro-peritoneal tumor is treated by inserting an indwelling ureter splint (DJ-stent). Indwelling duration is limited by cumulative crystalline deposits into the splint, eventually causing the repeated impairment of urine flow. Deciding when a DJ-stent must be replaced is important since belated removal can be accompanied by severe complications. X-ra...

BACKGROUND Chronic indwelling catheters may induce histologic changes within the bladder, and these changes are sometimes pre-malignant. There are many documented cases of squamous cell carcinoma associated with indwelling catheters, but only three cases of catheter-associated adenocarcinoma have been reported. In this case report, we present radiographic findings of a case of mucinous adenocar...

BACKGROUND Methicillin-resistant Staphylococcus aureus (MRSA) remains sensitive to vancomycin; when vancomycin-resistant S. aureus (VRSA) emerges, treatment becomes more complex. VRSA emergence is attributed to conjugative transfer of the vancomycin-resistance gene cluster from vancomycin-resistant enterococci (VRE) to MRSA. Because cocolonization with MRSA and VRE precedes VRSA development, th...

Radical hysterectomy has long been a primary mode of therapy for selected gynecologic malignancies. The lower urinary tract is an area associated with complications following this procedure. Lack of satisfactory reflex micturition and urinary retention, diminished bladder sensation, infection, and fistula formation are common adverse sequelae. Prolonged indwelling catheterization is a cornersto...

BACKGROUND Ascites is a common clinical manifestation of advanced liver disease which can be managed with repeated large volume paracentesis. We sought to determine if continuous paracentesis via placement of an indwelling catheter for the management of ascites is safe and effective. METHODS We placed 38 peritoneal drainage catheters in 30 patients for durations ranging from 1-10 days. Patien...

OBJECTIVES/HYPOTHESIS To evaluate the indications, complications, and device life of the Provox NiD in a large cohort at a tertiary US cancer center. STUDY DESIGN Longitudinal retrospective cohort study. METHODS We reviewed the records of patients who used the NiD prosthesis (2005-2011) for general indicators, device life, and complications. RESULTS One hundred eighty-six patients who use...

OBJECTIVE To identify the incidence and risk factors of medical complications during inpatient stroke rehabilitation. MATERIAL AND METHOD Stroke patients (n = 118) admitted to the Thai Red Cross Rehabilitation Center between August 2006 and January 2007 were prospectively evaluated throughout inpatient rehabilitation to identify incidence of complications. RESULTS Eighty-three patients (70....

BACKGROUND Epidural anesthesia is widely used to provide pain relief, whether for surgical anesthesia, postoperative analgesia, treatment of chronic pain, or to facilitate painless childbirth. In many cases, however, the epidural catheter is inserted blindly and the indwelling catheter position is almost always uncertain. METHODS In this study, the loss-of-resistance technique was used and an...

0.9% Sodium chloride injection is a safe and effective indwelling solution for maintaining catheter patency of peripheral indwelling intermittent infusion devices (PIIIDs) in adults and children age one year or older. ASHP supports the use of 0.9% sodium chloride injection in preference to heparin-containing flush solutions (heparin flush) in the institutional setting, on the basis of clinical ...