INTRODUCTION Endoscopic surgery and endourological procedures imply the use of special instruments that are introduced into the urinary system through the urethra and percutaneous techniques that allow ante grade access to the urinary tract. The risk of urinary tract infection after endourological procedures and the use of antibiotic prophylaxis for these procedures is a question about which th...

STUDY OBJECTIVES To determine whether the rate of acquisition of bacteriuria differs between the use of a complex closed drainage system (CCDS) with a preattached catheter, antireflux valve, drip chamber, and povidone-iodine releasing cartridge, and a two-chamber open drainage system (TCOS) in ICU patients. DESIGN Prospective, nonrandomized, controlled trial. SETTING Medical/surgical/trauma...

BACKGROUND Catheter-associated urinary tract infection (UTI) is associated with increased morbidity, mortality, and costs. A recent meta-analysis concluded that silver alloy catheters reduce the incidence of UTI by 3-fold; however, clinicians must decide whether the efficacy of such catheters is worth the extra per unit cost of $5.30. OBJECTIVE To assess the clinical and economic impact of us...

Changes in reimbursement policies have focused attention on the use of indwelling catheters in the critical care unit as well as their role in hospital-acquired urinary tract infections. Implementation of an evidence-based prevention program can significantly reduce both the prevalence of indwelling catheterization and the incidence of hospital-acquired catheter-associated urinary tract infecti...

Objectives: The scope of this review was various lubricants used to mitigate pain during urethral catheterization procedure and it was performed in order to review the published studies and to examine the data obtained from those studies in a systematic way. Methods: The study was performed through retrospective scan of related publications using the keywords “urinary catheterization (urethral ...

Non-traumatic ureteral rupture has been reported more frequently, resulting from increased intraluminal pressures from distal urinary tract obstruction. We report the case of a 77-year-old man presenting with chronic urinary retention secondary to massive prostatic enlargement through acute kidney injury. Ultrasound scan detected a shallow left perinephric fluid collection with a possible bladd...

Urinary incontinence is a prevalent condition affecting a disproportionate number of older women in the United States. Anticholinergic medications are the preferred treatment; however, a single anticholinergic agent has not emerged as the best treatment option. OnabotulimumtoxinA appears effective in the treatment of urgency urinary incontinence; however, it has led to incomplete voiding and th...

A 26-year-old previously healthy man presented with fever, urinary retention, nuchal rigidity, and hyperreflexia but with a clear sensorium. His initial spinal fluid results were consistent with aseptic meningitis from West Nile virus infection, and this was confirmed by serological studies on blood and cerebrospinal fluid. Computed tomography and magnetic resonance imaging studies were unremar...