Palliative long-term urinary bladder drainage: the uro-geriatric point of view

Journal article


Publication Details

Author(s): Wiedemann A, Kirschner-Hermanns R, Heppner HJ
Journal: Urologe
Publication year: 2019
ISSN: 0340-2592


Abstract

A serious voiding disorder or urinary incontinence represent indications for long-term catheterization of the urinary bladder. Treatment by a transurethral or suprapubic bladder catheter for life-long bladder drainage is accompanied by technical short-term complications and long-term sequelae. The mortality risk associated with inserting a suprapubic catheter is approximately 2% due to an incorrect bladder puncture. Long-term consequences of life-long bladder drainage are hematuria, infection, spasms, stone formation, obstruction, catheter loss, risk of falls and automanipulation especially in cognitively impaired persons. These constitute frequent reasons for emergency treatment or hospitalization. Further problem areas are dependency on caregivers to perform the catheter change and dermal problems in the area of the fistula stoma. To what extent this limits the quality of life of those affected remains unclear up to now. The acute complications and the long-term consequences of life-long bladder drainage make careful decision-making necessary after other therapeutic options have failed, are not appropriate or not desired.


FAU Authors / FAU Editors

Heppner, Hans Jürgen PD Dr.
Medizinische Fakultät


External institutions with authors

Evangelisches Krankenhaus Witten
Rheinische Friedrich-Wilhelms-Universität Bonn


How to cite

APA:
Wiedemann, A., Kirschner-Hermanns, R., & Heppner, H.J. (2019). Palliative long-term urinary bladder drainage: the uro-geriatric point of view. Urologe. https://dx.doi.org/10.1007/s00120-019-0883-8

MLA:
Wiedemann, A., R. Kirschner-Hermanns, and Hans Jürgen Heppner. "Palliative long-term urinary bladder drainage: the uro-geriatric point of view." Urologe (2019).

BibTeX: 

Last updated on 2019-14-05 at 13:23