Attitudes among junior doctors towards improving the transurethral catheterisation process

Abstract

Objectives

To evaluate the subjective opinions of junior doctors on their adequacy of training and confidence levels for performing transurethral catheterisation (TUC) and to investigate their subjective interest in a ‘safety mechanism’ that would eliminate the potential for urethral trauma during TUC.

Methods

An anonymous online survey was emailed to all interns that had a documented email address on the Royal College of Surgeons Ireland registry (2012–2013). The survey consisted of eight questions pertaining to TUC of male patients.

Results

The survey was delivered to 252 email addresses and the response rate was 52 % (130/252). The vast majority (99 %; n = 128) of interns felt confident inserting a transurethral catheter independently and 73 % (n = 95) subjectively received appropriate training for catheterising male patients. The incidence of trauma after mistakenly inflating the catheter’s anchoring balloon in the urethra was 3 % (n = 4). The majority (90 %; n = 116) of respondents were interested in a safety mechanism for preventing urethral trauma and 71 % (n = 92) felt that a safety mechanism for urethral trauma prevention should be compulsory for all transurethral catheterisation among male patients.

Conclusion

Despite pre-emptive training programmes, it appears that iatrogenic urethral trauma secondary to TUC remains a persistent morbidity in healthcare settings. Designing a safer transurethral catheter may be necessary to eliminate the risk of unnecessary urethral trauma in patients.