Evaluation Patient Satisfaction After Passive Bladder Catheter Removal Compared to Active Removal
Multicenter, Randomized, Controlled Trial Evaluating Patient Satisfaction After Passive Bladder Catheter Removal Following Urological Surgery Compared to Active Removal by a Nurse
Hospices Civils de Lyon
160 participants
Jul 21, 2022
INTERVENTIONAL
Conditions
Summary
In usual practice, the removal of the bladder catheter is performed by a nurse a few days after the surgery. The nurse deflates the balloon and removes the catheter from the urethra by manual traction. To date, there are no solid data on the impact of passive catheter removal on patient satisfaction. It is therefore necessary to estimate the effect on patient satisfaction of active catheter removal by a nurse versus passive catheter removal under gravity. The effect on pain and anxiety will also be compared between the two techniques. The methodology used was that of an open-label randomized controlled trial.
Eligibility
Inclusion Criteria11
- Male ≥ 18 years old
- With an indwelling urinary catheter placed after any of the following procedures:
- A uro-endoscopic surgery from the list below:
- Endoscopic prostate resection (or transurethral prostate resection).
- Laser prostate enucleation
- Prostate thermotherapy by radiofrequency
- A high-intensity focused ultrasound treatment for prostate cancer
- Cervico-prostatic incision or internal urethrotomy
- Endoscopic/Transurethral Resection of Bladder Tumor (TURBT)
- Surgical treatment of bladder stones, ureter stones (rigid ureteroscopy) and kidney stones (flexible ureteroscopy with laser stone fragmentation)
- Patient who has given written consent to participate
Exclusion Criteria6
- Patient who is unable to perform intimate hygiene alone in a standing position
- Patient with a painful genital lesion
- Patient with an extended pelvic pathology
- Need to remove the indwelling urinary catheter at the patient's home instead of hospital
- Patient under guardianship or curator
- Patient unable to understand the objectives of the study or unwilling to comply with postoperative instructions
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Interventions
After washing the patient's perineal area with water and mild soap, the nurse deflates the indwelling urinary catheter balloon and instructs the patient to take a shower (standing). During this time, the catheter will fall under gravity.
After washing the patient's perineal area with water and mild soap, the nurse deflates the balloon and removes the catheter from the urethra by manual traction.
Locations(2)
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NCT05313945