Evaluation of pain and catheter-related bladder discomfort relative to balloon volumes of indwelling urinary catheters: A prospective study

Investig Clin Urol. 2019 Jan;60(1):35-39. doi: 10.4111/icu.2019.60.1.35. Epub 2018 Dec 6.

Abstract

Purpose: To evaluate patients' tolerance to indwelling urinary catheters (IUCs) before and after reducing their balloon volumes. IUCs are a source of discomfort or pain.

Materials and methods: All consecutive patients hospitalized in our department with IUCs were included during the study period with some exclusion. Each patient was his/her own control before and two hours after reduction of the balloon volume (RBV) by half using two types of assessments, a visual analog scale for pain and a catheter-related bladder discomfort (CRBD) symptom questionnaire.

Results: Forty-nine patients were included in our study that completed the assessments. The mean scores for pain before and after RBVs were 2.80 and 2.02, respectively. The difference was significant (p<0.05). The mean grades of the CRBD before and after RBVs were 1.02 and 0.75, respectively. The difference was significant (p<0.05).

Conclusions: A 50% RBV has shown a significant amelioration in tolerating the catheter.

Keywords: Clinical protocols; Pain management; Treatment outcome; Urinary bladder; Urinary catheters.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Catheters, Indwelling / adverse effects*
  • Equipment Design
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pain Measurement / methods
  • Pain, Postoperative / etiology*
  • Postoperative Complications
  • Prospective Studies
  • Severity of Illness Index
  • Transurethral Resection of Prostate / methods
  • Urinary Bladder Diseases / etiology*
  • Urinary Bladder Neoplasms / surgery
  • Urinary Catheterization / instrumentation
  • Urinary Catheters / adverse effects*
  • Urinary Incontinence, Urge / etiology
  • Young Adult