{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T05:29:36Z","timestamp":1773638976551,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,9,14]],"date-time":"2025-09-14T00:00:00Z","timestamp":1757808000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,9,14]],"date-time":"2025-09-14T00:00:00Z","timestamp":1757808000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Catheter\u2010related bladder discomfort (CRBD) is a common postoperative complication following urological procedures, causing significant distress and reducing patient satisfaction. Although pharmacological interventions have been investigated, a more definitive approach is warranted. This study evaluated whether an open\u2010ended Foley catheter (OEFC) reduces the incidence and severity of CRBD compared with a conventional Foley catheter (FC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials<\/jats:title>\n                    <jats:p>In this exploratory, parallel\u2010group, single\u2010blind, randomized controlled trial conducted at Hiroshima University Hospital, 100 patients undergoing transurethral resection of a bladder tumor or robot\u2010assisted surgery for renal, renal pelvic, or ureteral malignancies were randomized 1:1 to receive either an OEFC or a standard FC. The primary endpoint was the incidence of CRBD at 6\u2009h postoperatively. Secondary endpoints included the incidence and severity of CRBD and urethral pain, and the frequency of pharmacological intervention at predefined postoperative time points.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Ninety\u2010four patients were included in the full analysis set (47 per group). At 6\u2009h postoperatively, CRBD incidence was significantly lower in the OEFC group than in the FC group (42.6% vs. 68.1%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.012). The OEFC group consistently demonstrated reduced CRBD incidence and severity compared with the FC group during the first 6\u2009h. Urethral pain scores and analgesic use were comparable between groups. Subgroup analyses indicated that the preventive effect of OEFC was particularly notable in non\u2010transurethral resection of bladder tumor patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>OEFC placement represents a broadly applicable and effective strategy to reduce CRBD following urological surgery. Catheter tip design appears to play a pivotal role in CRBD prevention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/iju.70225","type":"journal-article","created":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T04:46:12Z","timestamp":1757911572000},"page":"1819-1826","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Efficacy of Open\u2010Ended Urinary Catheters in Preventing Catheter\u2010Related Bladder Discomfort: A Randomized Controlled Trial"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2098-3916","authenticated-orcid":false,"given":"Kohei","family":"Kobatake","sequence":"first","affiliation":[{"name":"Department of Urology, Graduate School of Biomedical and Health Sciences Hiroshima University  Minami\u2010ku Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3580-1401","authenticated-orcid":false,"given":"Keisuke","family":"Goto","sequence":"additional","affiliation":[{"name":"Department of Urology, Graduate School of Biomedical and Health Sciences Hiroshima University  Minami\u2010ku Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1953-3240","authenticated-orcid":false,"given":"Tomoya","family":"Hatayama","sequence":"additional","affiliation":[{"name":"Department of Urology, Graduate School of Biomedical and Health Sciences Hiroshima University  Minami\u2010ku Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3485-0751","authenticated-orcid":false,"given":"Miki","family":"Naito","sequence":"additional","affiliation":[{"name":"Department of Urology, Graduate School of Biomedical and Health Sciences Hiroshima University  Minami\u2010ku Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9077-4733","authenticated-orcid":false,"given":"Kenshiro","family":"Takemoto","sequence":"additional","affiliation":[{"name":"Department of Urology, Graduate School of Biomedical and Health Sciences Hiroshima University  Minami\u2010ku Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8397-115X","authenticated-orcid":false,"given":"Shunsuke","family":"Miyamoto","sequence":"additional","affiliation":[{"name":"Department of Urology, Graduate School of Biomedical and Health Sciences Hiroshima University  Minami\u2010ku Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1525-5463","authenticated-orcid":false,"given":"Yohei","family":"Sekino","sequence":"additional","affiliation":[{"name":"Department of Urology, Graduate School of Biomedical and Health Sciences Hiroshima University  Minami\u2010ku Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4756-2356","authenticated-orcid":false,"given":"Hiroyuki","family":"Kitano","sequence":"additional","affiliation":[{"name":"Department of Urology, Graduate School of Biomedical and Health Sciences Hiroshima University  Minami\u2010ku Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5262-8129","authenticated-orcid":false,"given":"Akihiro","family":"Goriki","sequence":"additional","affiliation":[{"name":"Department of Urology, Graduate School of Biomedical and Health Sciences Hiroshima University  Minami\u2010ku Hiroshima 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