Urologic Diseases
Conditions
Keywords
bladder catheter
Brief summary
In usual practice, the removal of the bladder catheter is performed by a nurse a few days after the surgery. The nurse deflates the balloon and removes the catheter from the urethra by manual traction. To date, there are no solid data on the impact of passive catheter removal on patient satisfaction. It is therefore necessary to estimate the effect on patient satisfaction of active catheter removal by a nurse versus passive catheter removal under gravity. The effect on pain and anxiety will also be compared between the two techniques. The methodology used was that of an open-label randomized controlled trial.
Interventions
PROCEDUREPassive indwelling urinary catheter removal
After washing the patient's perineal area with water and mild soap, the nurse deflates the indwelling urinary catheter balloon and instructs the patient to take a shower (standing). During this time, the catheter will fall under gravity.
PROCEDUREActive indwelling catheter removal by a nurse
After washing the patient's perineal area with water and mild soap, the nurse deflates the balloon and removes the catheter from the urethra by manual traction.
Sponsors
Hospices Civils de Lyon
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
MALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Male ≥ 18 years old 2. With an indwelling urinary catheter placed after any of the following procedures: A uro-endoscopic surgery from the list below: * Endoscopic prostate resection (or transurethral prostate resection). * Laser prostate enucleation * Prostate thermotherapy by radiofrequency * A high-intensity focused ultrasound treatment for prostate cancer * Cervico-prostatic incision or internal urethrotomy * Endoscopic/Transurethral Resection of Bladder Tumor (TURBT) * Surgical treatment of bladder stones, ureter stones (rigid ureteroscopy) and kidney stones (flexible ureteroscopy with laser stone fragmentation) 3. Patient who has given written consent to participate
Exclusion criteria
1. Patient who is unable to perform intimate hygiene alone in a standing position 2. Patient with a painful genital lesion 3. Patient with an extended pelvic pathology 4. Need to remove the indwelling urinary catheter at the patient's home instead of hospital 5. Patient under guardianship or curator 6. Patient unable to understand the objectives of the study or unwilling to comply with postoperative instructions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient satisfaction score | Within one hour after indwelling urinary catheter removal at day 0 | Patient satisfaction score using a numerical rating scale (NRS) from the minimum value 0 (The worse score) to the maximum value 10 (The better Score) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The pain experienced by patients | Prior to catheter removal (within 30 minutes before the start of the procedure) and in the immediate aftermath (within one hour after the removal of the catheter) | The pain experienced by patients will be measured using a numerical scale (EN) ranging from the minimum value 0 (The better score) to the maximum value 10 (The worse Score) |
| The anxiety experienced by patients | Prior to catheter removal (within 30 minutes before the start of the procedure) and in the immediate aftermath (within one hour after the removal of the catheter) | The anxiety experienced by patients will be measured using a numerical scale (EN) ranging from the minimum value 0 (The better score) to the maximum value 10 (The worse Score) |
| Patient satisfaction | at Day 0, at Day 2, at Day 15 | Patient satisfaction will be evaluated using a satisfaction questionnaire without score |
Countries
France
Contacts
CONTACTNora JAMALI, Nurse
CONTACTMarjolaine Beaudoin, ARC
PRINCIPAL_INVESTIGATORCamille BENETON, Nurse
Hospices Civils de Lyon
Outcome results
None listed