Feed on
Posts
Comments

Patients in Germany complaining of symptoms of UTI (Urinary Tract Infection) are catheterised. Why? Because the microbiologist needs to assess the nature and degree of bacteria in the urinary tract and not from subsequent contact with skin or labia.  Without using an aseptic sampling method – such as catheterisation, around 30% of all samples (Libshitz 2001) reaching the laboratory in the UK are contaminated. The UK microbiologist has to use a high degree of skill to be able to determine the difference between normal (commensal) bacteria and those causing infection. The trouble is that this makes the test more subjective and friendly bacteria in the right environment can become, or are infectious.

Would routine catheterisation put patients off coming forward? The answer is probably yes, a catheterisation is not a dignified  procedure. So there needs to be a good alternative.

Working with their clinical colleagues, microbiology specialists are therefore seeking a better method and clinical trials to assess new systems are now underway. The forerunner is the Peezy urine collection system.

Already in use by leading Harley Street Gynaecologists, it is envisaged that this new, dignified urine collection system will modernise current archaic practice as it automatically and safely takes a clean, mid-stream sample without any fuss. Peezy was designed by NHS GP Dr Vincent Forte and subsequently won design awards with NHS Innovations. It is another example of how the UK is leading the world with fundamentally good, patient-centred medical progress.


bookmark London leading the way with MSU and urine sample collection

A urine sample or blood test is normally the first medical step, and so it seems odd that such little thought has up to now gone into this fundamental procedure. For example, the size and neck of urine collection bottles make it almost impossible to get a sample into the bottle let alone the required sterile, mid-stream sample. The accuracy of the diagnosis depends to a great extent on the quality of the sample and yet doctors will still often insist that their patients use an archaic system that involves so much fuss that obtaining an unadulterated mid-stream sample is both undignified and unlikely.

Women’s Health Experts switch to Peezy
As a result, London’s top doctors are now switching to the Peezy system. Peezy was invented by an NHS GP, Dr Vincent Forte who listened to his patients and used his skills to invent a simple device that was possible to aim at and automatically took the required sample – without any mess or stress. Doctors on Harley Street including leading Gynaecologist, Mr Adrian Lower immediately spotted the fact that Peezy would not just improve the quality of the medical service that they could provide their patients, but would also offer improved levels of care. Patients and staff alike are delighted with the new system.


bookmark Collecting Patient Samples for the Path Lab

There are a number of established, conventional ways for women to provide a urine sample for medical analysis, none of which guarantees a mid-stream, and most of which engender contamination of the sample. This can yield a false-positive result, a requirement to re-test, delayed or inaccurate diagnosis and the prescribing of a broad-spectrum antibiotic instead of something targeted to treat the prevalent infection.

Designed by Dr Vincent Forte, Peezy is a cleverly engineered funnel that is shaped to fit the female perineum comfortably. It features a special duct onto which the standard Universal Container fits, below which there is an overflow outlet. There is no need for the patient to think about anything more than releasing her urine stream. She does not need to worry about start-stop-start, wet bottle, wet hands, toilet seat or floor.

The patient simply positions Peezy against her body, and “lets go”. Peezy does the rest: the first-burst of approximately 10ml exits via a void at the base of the funnel which is fitted with a compressed cellulose sponge.

On contact with the urine, this sponge expands to fill the void; the urine is then contained within the funnel to the point where it flows into the Universal Container, which fills with pure “gold-standard” mid-stream.

Once the bottle is full, excess urine is diverted via the overflow spout, into the toilet below. It cannot return into the funnel which, with a normal stream, cannot overflow.

When she has finished, the patient counts to 20 to ensure the sponge had drained. She lifts Peezy away from her body, unscrews the container, throws the funnel into the bin and puts the lid onto the bottle.

The upshot of this simple process is a dignified, dry patient, dry environment and a pure mid-stream sample for prompt and accurate medical analysis.

For more information on the Peezy please see the article by Dr Forte, or click on this simple form.


bookmark Female Friendly Urine Collection - sample collection made more dignified for women