Module 4 - Catheters in Gynae

Question 1

What are the 3 uses of catheters in gynae?

Answer 1

1. Prophylaxis
2. Investigations
3. Therapeutic

Question 2

What is an IUC?

Answer 2

Indwelling Urethra Catheter

Question 3

What are the two methods of supra-pubic catheter insertion?

Answer 3

Open (direct bladder dome visualisation and cystotomy).

Closed (via transducer in trendelenberg position). Fill 500mls into bladder, give LA, catheter 3cm above pubic symphysis.

Question 4

What are the potential long term complications of catheterisation?

Answer 4

CASUTI (catheter associated symptomatic UTI).

Question 5

What is the most common hospital acquired infection?

Answer 5

UTI
(accounts for 20 - 40%)

Question 6

After a week, what is the proportion of patients with a catheter, who develop bacteraemia?

Answer 6

50%

(5% a day)

Question 7

What is the link between catheters and bladder cancer?

Answer 7

Long term catheterisation (>10 years) has increased risk of bladder cancer.

Question 8

What other risks are associated with long term catheters?

Answer 8

1. Granulation tissue formation
2. Blockage
3. Balloon cuff formation
4. Bypassing
5. Unable to deflate balloon.

Question 9

What is the infection rate with EACH ISC?

Answer 9

3 - 4%

Question 10

What proportion of ISC patients will have bacturaemia?

Answer 10

50%