A Patient With Chronic Indwelling Foley Catheter, Chronic Suprapubic Pain and Chronic Bacteriuria With Resistant P. Aeroginosa Successfully Treated With UroShield
Dr. Yoram Siegel
Head, Endourology unit, Assaf Harofeh Medical Center, Zrifin, ISRAEL
Case report – A patient with chronic indwelling Foley catheter, chronic suprapubic pain and chronic bacteriuria with resistant P. Aeroginosa successfully treated with UroShield
An 88-year-old patient suffered from total urinary incontinence, persistent suprapubic pain, bladder contraction, permanent urinary tract infection as a result from long term usage of indwelling urinary catheter following radical prostatectomy.
The patient has been closely followed up by our outpatient clinic. Shortly after commencement of the UroShield treatment, the patient reported dramatic reduction in his suprapubic pain and discomfort. During the 6-months period, catheter replacement was required only twice as opposed to an average of two replacements per month during equivalent period prior to UroShieldTM treatment (Figure 1). In addition, urine culture and antibiotic susceptibility studies showed a change in bacterial colonization from P.aeruginosa, well known for its robust antibiotic resistance ability, to an E.Coli strain with significantly higher sensitivity to antibiotics.