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Postoperative urethral strictures following extracorporeal circulation in open heart surgery are not uncommon. The etiology is not clear. Ischemia and pressure of the Foley catheter may cause a lesion that eventually leads to urethral stricture. We retrospectively analyzed 300 patients who had undergone open heart surgery. In 1 group the bladder was drained by a Foley catheter during extracorporeal circulation, while another group underwent suprapubic drainage. Strictures developed in 10 of 152 patients (6.6%) with an indwelling catheter. Conversely, no strictures occurred in the 148 patients treated with suprapubic urinary drainage. The use of suprapubic drainage during extracorporeal circulation greatly decreases the risk of postoperative urethral strictures.
N P Buchholz, and
M Riehmann, and
T C Gasser
December 1993,
Helvetica chirurgica acta,
N P Buchholz, and
M Riehmann, and
T C Gasser
October 1990,
European journal of vascular surgery,
N P Buchholz, and
M Riehmann, and
T C Gasser
October 1977,
American family physician,
N P Buchholz, and
M Riehmann, and
T C Gasser
June 2020,
Current urology reports,
N P Buchholz, and
M Riehmann, and
T C Gasser
January 2004,
Spinal cord,
N P Buchholz, and
M Riehmann, and
T C Gasser
January 1977,
Jugoslavenska ginekologija i opstetricija,
N P Buchholz, and
M Riehmann, and
T C Gasser
April 1972,
Ceskoslovenska gynekologie,
N P Buchholz, and
M Riehmann, and
T C Gasser
April 1972,
American journal of surgery,
N P Buchholz, and
M Riehmann, and
T C Gasser
February 1972,
Geburtshilfe und Frauenheilkunde,
N P Buchholz, and
M Riehmann, and
T C Gasser
November 1971,
Ceskoslovenska gynekologie,
