Mp43-02 an Integrated Guidewire Urethral Catheterisation Device (Ucd®) for Difficult Urethral Catheterisation in the Emergency Department

You have accessJournal of UrologySurgical Technology & Simulation: Instrumentation & Technology II (MP43)1 May 2024MP43-02 AN INTEGRATED GUIDEWIRE URETHRAL CATHETERISATION DEVICE (UCD®) FOR DIFFICULT URETHRAL CATHETERISATION IN THE EMERGENCY DEPARTMENT Alexander Combes, George McClintock, Nicola Jeffery, Dinh Michael, Smith Hanratty Brendan, Boothroyd Christopher, and Saartje Berendsen Russell Alexander CombesAlexander Combes , George McClintockGeorge McClintock , Nicola JefferyNicola Jeffery , Dinh MichaelDinh Michael , Smith Hanratty BrendanSmith Hanratty Brendan , Boothroyd ChristopherBoothroyd Christopher , and Saartje Berendsen RussellSaartje Berendsen Russell View All Author Informationhttps://doi.org/10.1097/01.JU.0001008720.96896.83.02AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Urethral Catheterisation (UC) is performed in approximately 25% of hospitalised patients. Catheter Associated Urethral Injury (CAUI) occurs in 13.4 per 1000 male UCs, leading to patient morbidity and incurring large financial costs. This study assessed the use and cost-effectiveness of an integrated guidewire urethral catheterisation device (UCD®, Urethrotech Ltd) in male patients with Difficult Urethral Catheterisation (DUC) in the Emergency Department (ED). METHODS: A prospective, multicenter study of adult male patients who failed first line UC was conducted in ED at a tertiary referral hospital and a regional hospital (1 hr from on-site urology service). A DUC protocol was implemented and ED nurses and doctors were trained in use of the UCD® (Figure 1). The UCD® is a TGA approved device that makes the Seldinger technique for DUC accessible to non-urologist frontline workers. RESULTS: UCD® was required in 20 patients with DUC and was successful in 13 patients (65%). Of the 7 remaining patients (35%), 2 required a flexible cystoscopy, identifying urethral strictures and 1 underwent emergency suprapubic catheter insertion prior to UC by Urology (Figure 2). Immediate costs required for urgent UC by urology was approximately $2500 per patient, including cost of inter-hospital transfer ($800 - $1300) and urology call-back ($540). The UCD® avoided urology call-back in 4 patients and avoided inter-hospital transfer in 4 patients. CONCLUSIONS: The UCD® is an effective technique for DUC and can reduce the complications and costs of CAUI. It fills a particular niche in Australian regional hospitals without on-site urology, to prevent patient care delays and costs associated with inter-hospital transfer. Download PPTDownload PPT Source of Funding: Nil © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e692 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Alexander Combes More articles by this author George McClintock More articles by this author Nicola Jeffery More articles by this author Dinh Michael More articles by this author Smith Hanratty Brendan More articles by this author Boothroyd Christopher More articles by this author Saartje Berendsen Russell More articles by this author Expand All Advertisement PDF downloadLoading ...