Exploring Urethral Pressure Injuries in Adults with Long-Term Urinary Catheters

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1. Background The use of urinary catheters is common in hospitals, rehabilitation facilities, nursing homes, and the community. Catheters are mostly used for short-term bladder drainage, but sometimes they need to be used for longer. Serious illness, chronic inability to urinate, and incontinence are some of the reasons for long-term insertion of a urinary catheter. People who have urinary catheters inserted for a long time can develop complications. These problems include pain, trauma, urinary tract infections, and urethral pressure injuries. The severity of a pressure injury can range from a mild erosion up to an ulcer or even cleavage of the urethra. There has been little research into urethral pressure injuries occurring in people with long-term catheters. We want to find out how common urethral pressure injuries are. We also want to find out if urethral pressure injuries are more common in some people. To do this, we will collect some information, like age and medical problems, from the medical records of participants. We will also ask participants to complete a survey about their experience with a urinary catheter. By doing this, we will better understand how common urethral pressure injuries are. 2. Aims The primary aim of this study is to measure the prevalence of urethral pressure injuries in adults with long-term urinary catheters. The secondary aim is to explore any association between any demographic variables (e.g. sex, age) or medical conditions (e.g. mobility issues, neurological conditions) and the occurrence of urethral pressure injuries. 3. Hypothesis A proportion of adults with long-term urinary catheters will develop urethral pressure injuries. Certain demographic variables and medical conditions may be associated with development of a urethral pressure injury.

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