EDUCATION & RESEARCH
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Video Training Resources
Product Demonstration
Clinical Research Projects
“Safe access for bladder entry (SAFE) in transgender men following penile reconstruction: a randomised controlled trial”
Inserting a urinary catheter in transgender men following penile reconstruction is difficult and usually requires specialist input. Specialist input may not always be readily available and clinicians may resort to suprapubic catheterisation with the associated risk of injury to the bowel or blood vessels. There is a need for an evidence-based protocol to guide clinicians faced with having to catheterise one of these patients. We will evaluate how successful a specialised catheter (Urethrotech UCD®) is compared with a standard Foley catheter for catheterisation of these patients.
“Catheterisation safety target of Plan-B approach (STOP-B): Evaluation of a new Urethral Catheterisation Device to manage difficult urethral catheterisation in men attending the Emergency Department”
Urinary catheters are placed most frequently in Emergency Rooms. When difficult catheterisation is encountered, lack of immediate specialist services can transform a simple procedure into a stressful emergency. Repeated attempts can lead to urethral injury with the risk of severe bleeding and urinary sepsis. We evaluate a new catheterisation algorithm in the acute care setting which provides frontline healthcare professionals with a purpose-designed Plan-B catheter with integrated guidewire to solve a difficult catheterisation episodes in a rational and cost-effective way to improve patient care.
Peer-reviewed Publications
Practice Change Report
Publication on the clinical safety and effectiveness using the Urethrotech UCD® catheter in spinal cord injury patients.
Safety & Effectiveness Study
Publication on the clinical safety and effectiveness using the Urethrotech UCD® catheter in cardiac surgery patients.
Nurse Practice Development
Presentations at International Meetings
» EAU 2024 «
An integrated guidewire Urethral Catheterisation Device (UCD) for Difficult Urethral Catheterisation in the Emergency Department
In a prospective multi-center study across emergency departments of a tertiary and a regional hospital, the UCD® device was evaluated for managing difficult urethral catheterisation (DUC) in men. Approved by the TGA and enabling non-specialists to use the Seldinger technique, UCD® was effective in 65% of 20 DUC cases. It reduced the need for expensive emergency urology interventions, saving costs of around A$2500 per patient on inter-hospital transfers (A$800 to A$1300) and call-backs (A$540). The device proved particularly valuable in regional hospitals, minimising delays and costs associated with patient transfers for urology services.
» USANZ 2024 «
An integrated guidewire Urethral Catheterisation Device (UCD) for Difficult Urethral Catheterisation in the Emergency Department
In a prospective multi-center study across emergency departments of a tertiary and a regional hospital, the UCD® device was evaluated for managing difficult urethral catheterisation (DUC) in men. Approved by the TGA and enabling non-specialists to use the Seldinger technique, UCD® was effective in 65% of 20 DUC cases. It reduced the need for expensive emergency urology interventions, saving costs of around A$2500 per patient on inter-hospital transfers (A$800 to A$1300) and call-backs (A$540). The device proved particularly valuable in regional hospitals, minimising delays and costs associated with patient transfers for urology services.
» ESSM 2024 «
Safe access for bladder entry in transgender men following genital gender affirmation surgery: a randomised controlled trial
Men who have undergone phalloplasty may experience challenges with urethral catheterisation due to urethral tortuosity related to the surgery. This randomised controlled trial shows that using the UCD® catheter results in a 60% success rate for urethral catheterisation, which is twice as high as the success rate achieved with standard Foley catheters, and does so without any complications related to the procedure.
» BAUS 2019 «
“A new Urethral Catheterisation Device for safe urethral catheterization in difficult cases”
In a prospective single-center study across emergency and operating room departments of a regional hospital, the UCD® device was assessed over a 12 month period for its effectiveness in managing failed urethral catheterisation in male patients. Approved by Swissmedic and enabling non-specialists to use the Seldinger technique, the UCD® catheter was effective in 81% of 21 DUC cases. It reduced the need for urology referral, thereby saving both time and healthcare costs. All staff were highly satisfied with the new device and would use it again as the next step to solve difficult urethral catheterisation.
» AUA 2019 «
Managing difficult catheter placement in complex urethroplasty …
This study examined the efficacy of the UCD® (Urethrotech Ltd), a urethral catheterization device equipped with an integrated guidewire, in male patients where standard Foley catheter insertion was unsuccessful at the end of intricate urethroplasty surgeries. In 94% of the instances (15 out of 16), the UCD® catheter was effectively inserted on the first attempt in less than 5 minutes. The sole remaining case achieved success on a second try without any complications. Demonstrating effectiveness, time-efficiency, and safety for patients undergoing complex urethral surgery, the UCD® eliminated the necessity for cystoscopy-assisted catheter placement, which carries an increased risk of harming new anastomotic repairs through irrigation and instrumentation.
» AUA 2019 «
Urologic Care for the Advanced Practice Provider Course
» EAUN 2019 «
Poster Presentation
» SCTS 2019 «
A New Urethral Catheterisation Device to Solve Difficult Urethral Catheterization in Men Undergoing Cardiac Surgery
» BAUN 2018 «
Poster Presentation
» EAUN 2018 «
Video Presentation
» BAUN 2018 «
Plenary Presentation
» SIU 2017 «
Use of a new Urethral Catheterisation Device (UCD) to reduce the risks of urethral trauma due to urethral catheterisation
This cohort study recorded the incidence of catheterization-associated urethral injury (CAUI) in 74 consecutive men undergoing cardiac surgery using a standard Foley catheter, followed by 100 similar men being catheterized with the UCD® catheter, featuring an integrated guidewire. The use of the UCD® catheter was successful in all men on the first attempt, without any adverse events, whereas 7 adverse events (9.5%) occurred in the Foley catheter group with post-operative bleeding and pain in 5 patients (6.8%), and 2 patients (2.7%) required placement of a suprapubic catheter at the end of the cardiac procedure despite the need for high-dose post-operative anticoagulation. The findings suggest that the UCD® catheter offers a safer option for urethral catheterization in high-risk patients, such as those undergoing cardiac surgery who will be administered heparin, by reducing the high risk of complications associated with traditional Foley catheterization.