Abstract:
OBJECTIVE:To evaluate the safety and effectiveness of the Seldinger technique by non-urology trained (NUT) doctors for difficult male indwelling urinary catheter (IDC) insertions. PATIENTS AND METHODS:In all, 115 patients and 57 participating NUT doctors were recruited by the urologist or urology registrar, when contacted in regards to failed IDC insertion. The successful passage of an IDC by the NUT doctors using the Seldinger technique with a straight, hydrophilic guidewire was assessed in our prospective, multicentre evaluation. Instruction of this technique was via bedside teaching by the urology registrar or via video media. RESULTS:The 115 patients, involving 57 NUT doctors, were prospectively evaluated across four sites; 93% (107/115) of cases had successful placement of an IDC with the Seldinger technique by a NUT doctor. No complications with the Seldinger technique were recorded. In 80 patients (69.6%), the technique was successfully performed by a NUT doctor without attendance by a urologist or urology registrar, with instruction provided from video media or prior bedside teaching by the urology registrar. CONCLUSIONS:Our study is the first to validate the safety and effectiveness of the Seldinger technique for difficult male IDC insertion performed by NUT doctors. This technique can be taught via video education and thus has important implications for health services where urological support is not readily available.
journal_name
BJU Intjournal_title
BJU internationalauthors
Yuminaga Y,Kam J,Louie-Johnsun Mdoi
10.1111/bju.13928subject
Has Abstractpub_date
2017-11-01 00:00:00pages
21-27eissn
1464-4096issn
1464-410Xjournal_volume
120 Suppl 3pub_type
杂志文章,多中心研究abstract:OBJECTIVE:To review long-term oncological and functional outcomes of testicular-sparing surgery (TSS) in men presenting with bilateral or monorchide testicular tumours at one of five reference centres for testicular neoplasm and infertility. PATIENTS AND METHODS:We review 25 cases of bilateral synchrone and metachrone...
journal_title:BJU international
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journal_title:BJU international
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journal_title:BJU international
pub_type: 杂志文章,多中心研究
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pub_type: 传,历史文章,杂志文章
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更新日期:2012-12-01 00:00:00
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更新日期:2011-05-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2014-07-01 00:00:00
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更新日期:2012-07-01 00:00:00
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更新日期:2016-06-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2009-08-01 00:00:00