Current Evidence on Intermittent Catheterization

Getliffe, Kathryn; Fader, Mandy; Allen, C. E. Lewer; Pinar, Kim; Moore, Katherine

doi:10.1097/01.won.0000270824.37436.f6

Cited by 47 publications

(1 citation statement)

References 15 publications

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“…Clean intermittent self-catheterization (CISC) has been routinely practiced, in the more advanced economies, by adult male patients, as well as by care providers who may not necessarily be medical doctors or nurses 8–10. Evidence of its routine practice in our resource-poor setting is lacking.…”

Section: Introductionmentioning

confidence: 99%

Reducing the burden of regular indwelling urinary catheter changes in the catheter clinics: the opinion of patients and relatives on the practice of self-catheterization

Nnabugwu¹,

Udeh²,

Enivwenae³

et al. 2014

PPA

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BackgroundClean intermittent self-catheterization is accepted worldwide as a standard of care for patients with long-standing need for urinary bladder decompression. Evidence of its routine practice in our low-resource setting is lacking, leading to increasing number of patients with a long-standing indwelling urinary catheter.ObjectiveTo seek the opinion of patients already using indwelling catheters regarding the practice of self-catheterization.Patients and methodsOver a 4-month period, the opinion of every patient and patient’s relative that attended the regular urinary catheter clinic was sought using an intern-administered questionnaire. The data was analyzed using SPSS version 20.ResultsA total of 108 patients completed the questionnaire. Age range was 16–100 years with a mean of 62.2±15.5 years. Only 30.5% of the patients had formal education beyond the primary level. The median cost for change of the indwelling catheter was 1,325 naira ($8.28 US) with a range of 500–4,000 naira ($3.13–$25 USD). Analysis showed that: 70.8% of patients aged under 60 years/60.6% of those with formal education beyond primary level/61.9% of those wearing catheters for <3 months would give consent for training in self-catheterization. Higher cost of catheter change did not influence the decision to consider self-catheterization. Of the 59 patient relatives who completed the questionnaire, 63% of those younger than 50 years old and 69.2% of those with tertiary education would be willing to undertake training to administer self-catheterization.ConclusionA select group of patients and accompanying relatives in our low-resource setting are willing to learn and practice self-catheterization.

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Section: Introductionmentioning

confidence: 99%

Reducing the burden of regular indwelling urinary catheter changes in the catheter clinics: the opinion of patients and relatives on the practice of self-catheterization

Nnabugwu¹,

Udeh²,

Enivwenae³

et al. 2014

PPA

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Neurological patients need evidence‐based urological care

Wyndaele

Bruschini

Madersbacher

et al. 2010

Neurourology and Urodynamics

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Intermittent catheterization with hydrophilic catheters as a treatment of chronic neurogenic urinary retention

Chartier‐Kastler

Denys

2010

Neurourology and Urodynamics

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There is a wealth of evidence, including randomized controlled trials, to support the benefits of hydrophilic catheters in terms of safety and quality of life, especially in men with spinal cord injury. More data are required for spina bifida, multiple sclerosis, and in women. Further research is warranted, especially large-scale and long-term robust comparisons of different types of catheter, and in well-defined and stratified populations.

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Current Evidence on Intermittent Catheterization

Cited by 47 publications

References 15 publications

Reducing the burden of regular indwelling urinary catheter changes in the catheter clinics: the opinion of patients and relatives on the practice of self-catheterization

Reducing the burden of regular indwelling urinary catheter changes in the catheter clinics: the opinion of patients and relatives on the practice of self-catheterization

Neurological patients need evidence‐based urological care

Intermittent catheterization with hydrophilic catheters as a treatment of chronic neurogenic urinary retention

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