Evde Bakım Hastalarında Görülen Yeni Ürolojik Problemler: Çıkmayan Sondalar

Objective: The aim of this study was to evaluate urological problems and solutions in patients receiving home health care. Material and Method: The study included 99 patients were with chronic urethral catheter use among 1950 patients who received home health care between January 2017 and February 2019. The problems faced by patients and health personnel, ways to deal with problems and the reasons for applying to urology specialist were recorded. Results: The mean age of the patients included in the study was 77.3 (48-96) years. Fifty-five patients (55.5%) were male. Among the primary diseases of home care patients, 58 (58.5%) were the most common neurological problems. The urological problems were urinary infection in 18.1%, inability to remove the catheter in 18.1%, urethral erosion due to chronic irritation in 15.1% and hematuria in 8%. Antibiotherapy was applied to patients with urinary infection. Hematuria was treated in situ by irrigation and interruption if anticoagulant use was discontinued. In patients with urethromeatal erosion, a condom catheter was passed or a clean intermittent catheterization was performed and treated using local ointment. The patients who could not be probed were brought to the hospital for consultation with the urologist and the catheter was removed by interventional procedures (urethral or suprapubic). Conclusion: Urological problems are seen in 60% of the problems faced by home care patients, and a low percentage of these problems require urologist support.