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

Chartier‐Kastler, Emmanuel; Denys, Pierre

doi:10.1002/nau.20929

Cited by 74 publications

(59 citation statements)

References 59 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…CIC is an effective long-term urinary management strategy that maintains continence and reduces urinary tract complications 15 , and as such is currently the most preferred method for the management of neurogenic bladder in patients with SCI. Cameron et al 16 reported that use of CIC increased from about 13% in 1972 to 56% in 1991.…”

Section: Discussionmentioning

confidence: 99%

Spinal cord injury in older population in Turkey

et al. 2014

View full text Add to dashboard Cite

Study design: Retrospective, comparative 4-year study. Objectives: To identify the clinical characteristics unique to older patients with spinal cord injury (SCI). Setting: Turkish Armed Forces Rehabilitation Center, Ankara, Turkey. Methods: The study included 870 consecutive patients with SCI that were divided into two groups according to age. Patients aged X60 years at the time of injury constituted the study group, and randomly selected patients aged o60 years that were matched for gender, week of admission and time since injury constituted the control group. Patients' demographic and clinical characteristics were recorded, compared and analyzed. Results: The study group included 73 SCI patients (mean age: 66.98 ± 6.28 years) and the control group included 75 SCI patients (mean age: 33.93±10.67 years). Among the 148 patients, 98 (66.2%) were male. The vast majority of lesions were at the thoracic level (47.3%). In the older group, falls were the most frequent etiology (32.9%), simple falls predominated (62.5%). 49.3% of the study group vs 18.6% of the control group had a non-traumatic cause of SCI. Older patients were found to be less likely to have complete injury (27.4 vs 44%, P ¼ 0.035). The most common bladder management method was intermittent catheterization (69.6%) and the number of patients in each group treated with this method did not differ significantly (P40.05). More patients in the study group had neuropathic pain (50.7 vs 34.7%, P ¼ 0.049) and abnormal urinary ultrasound findings (23.3 vs 9.3%, P ¼ 0.021). Conclusion: Results revealed that older patients with SCI may have different demographic and clinical features compared with younger patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Spinal cord injury in older population in Turkey

et al. 2014

View full text Add to dashboard Cite

show abstract

“…15 The use of hydrophilic catheters has been reported to reduce urethral trauma and complications. 13 However, the current evidence is limited, especially regarding the optimal catheter type for decreasing the occurrence of urethral complications and urinary tract infections. 16 The occurrence rate of urethral strictures in men using IC was significantly higher (25 vs 14%) and the odds of an urethral stricture were twice the odds in men using other bladder evacuation methods.…”

Section: Discussionmentioning

confidence: 99%

“…The catheter surface has been claimed to be an important factor in the development of urethral strictures. 12,13 However, there is a lack of current data concerning the occurrence and characteristics of urethral strictures in men with NLUTD using IC since the wide-spread use of hydrophilic catheters.…”

Section: Introductionmentioning

confidence: 99%

Urethral strictures in men with neurogenic lower urinary tract dysfunction using intermittent catheterization for bladder evacuation

2015

View full text Add to dashboard Cite

Study design: Retrospective investigation. Objectives: To investigate the occurrence, characteristics and clinical consequences of urethral strictures in men with neurogenic lower urinary tract dysfunction (NLUTD) using intermittent catheterization (IC) for bladder evacuation. Setting: Spinal cord injury rehabilitation center. Methods: The patient database was screened for men with NLUTD who had presented for a routine video-urodynamic investigation between 2008 and 2012. Patient characteristics, bladder diary details, the occurrence of urethral strictures and performed urethrotomy procedures were collected from patient charts. Urethral strictures were classified using the Wiegand scoring system modified for men with NLUTD. Results: The occurrence rate of urethral strictures (that is, 25% confidence interval (CI) 21-30%) was significantly (P = 0.0001) higher in men using IC (n = 415) than in men using other bladder evacuation methods (that is, 14% CI 11-17%) (n = 629). Urethral strictures had occurred after a median 5.9 years (range 0.5-48.9 years) of IC. There was no significant (P40.08) effect of tetraplegia or catheter type on the stricture occurrence rate. Approximately one-third of the men suffering from urethral strictures underwent internal urethrotomies. The radiographic stricture severity score was not associated with the need for surgical correction of the stricture. The radiographic recurrence rate of urethral strictures in operated men was 100%, a median 14 years after the first urethrotomy. Conclusions: The occurrence rate of urethral strictures is significantly higher in men using IC than in men using other bladder evacuation methods. Every fourth men using IC may be affected by urethral strictures. However, only every third stricture may require a surgical intervention.

show abstract

“…Although newer data and expert panels are in favor of single-use hydrophilic catheters in an aseptic or clean manner [5][6][7][8] [13,16] including male-specific data [17,18].…”

Section: Cathetersmentioning

confidence: 99%

The management of urinary incontinence in the male neurological patient

Mehnert

Kessler

2014

Current Opinion in Urology

View full text Add to dashboard Cite

PURPOSE OF REVIEW: Urinary incontinence in male neurological patients is a very frequent problem but treatment remains challenging. Thus, we summarize and highlight the latest developments in the management of urinary incontinence in this specific patient population. RECENT FINDINGS: Intermittent self-catheterization, antimuscarinics, intradetrusor injections with onabotulinumtoxinA, augmentation cystoplasty, urinary diversion, and artificial urinary sphincter are the cornerstones of the armamentarium for treating neurogenic urinary incontinence. However, with the exception of onabotulinumtoxinA intradetrusor injections, level of evidence is often low and male-specific outcomes are virtually not available. Alternative conservative and/or minimally invasive procedures such as neuromodulation techniques and suburethral suspension devices provide promising data with apparently good safety and tolerability but still insufficient evidence lacking randomized control trials. SUMMARY: Standard options for treatment of urinary incontinence in neurological patients remain largely unchanged. Alternative treatment options, especially of conservative or minimally invasive character, have the potential to further broaden the therapeutic spectrum. While a higher level of evidence is needed to assess the potential of such therapeutic approaches, randomized controlled trials in the male neurological population present a challenge. To truly advance treatment of urinary continence in male neurological patients, well-designed, multicenter studies are warranted. Purpose of review Urinary incontinence in male neurological patients is a very frequent problem but treatment remains challenging. Thus, we summarize and highlight the latest developments in the management of urinary incontinence in this specific patient population. Recent findingsIntermittent self-catheterization, antimuscarinics, intradetrusor injections with onabotulinumtoxinA, augmentation cystoplasty, urinary diversion, and artificial urinary sphincter are the cornerstones of the armamentarium for treating neurogenic urinary incontinence. However, with the exception of onabotulinumtoxinA intradetrusor injections, level of evidence is often low and male-specific outcomes are virtually not available. Alternative conservative and/or minimally invasive procedures such as neuromodulation techniques and suburethral suspension devices provide promising data with apparently good safety and tolerability but still insufficient evidence lacking randomized control trials. SummaryStandard options for treatment of urinary incontinence in neurological patients remain largely unchanged. Alternative treatment options, especially of conservative or minimally invasive character, have the potential to further broaden the therapeutic spectrum. While a higher level of evidence is needed to assess the potential of such therapeutic approaches, randomized controlled trials in the male neurological population present a challenge. To truly advance treatment of urinary continence in mal...

show abstract

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

Cited by 74 publications

References 59 publications

Spinal cord injury in older population in Turkey

Spinal cord injury in older population in Turkey

Urethral strictures in men with neurogenic lower urinary tract dysfunction using intermittent catheterization for bladder evacuation

The management of urinary incontinence in the male neurological patient

Contact Info

Product

Resources

About