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Hydrophilic-coated catheter appreciation study in a pediatric population
Andréanne Boucher1, Jonathan Cloutier, Sylvie Lebel
1Division of Urology, Centre Hospitalier Universitaire de Québec, Université Laval, Québec, QC.
Insights
Hydrophilic-coated catheters (HC) were compared to uncoated catheters in pediatric patients with neurogenic bladder. While most preferred uncoated catheters, females using compact HC for urethral catheterization showed the most benefit.
Area of Science:
- Urology
- Pediatric Rehabilitation
Background:
- Neurogenic bladder management in children often involves intermittent catheterization.
- Hydrophilic-coated catheters (HC) aim to improve ease of use and reduce complications.
- Patient satisfaction is a key factor in adherence to catheterization regimens.
Purpose of the Study:
- To compare patient satisfaction with hydrophilic-coated (HC) versus uncoated catheters in a pediatric neurogenic bladder population.
- To identify specific patient subgroups who may benefit from HC.
- To test the hypothesis that pediatric patients with limitations might face difficulties using HC.
Main Methods:
- A prospective comparative study was conducted in a pediatric rehabilitation center.
- 31 patients/parents participated in a 1-week trial of HC after initial clinic assessment.
- Data collected included patient demographics, neurological condition, dexterity, catheterization method, and satisfaction questionnaire responses.
Main Results:
- 30 patients completed the satisfaction questionnaire; median age 13.5 years, 63% female, 87% self-catheterizing.
- 10 children (33%) were willing to switch to HC, all for urethral catheterization.
- Female patients using compact HC for urethral self-catheterization reported the most benefit and willingness to continue use.
Conclusions:
- The majority of pediatric patients with neurogenic bladder preferred their usual uncoated catheters over HC.
- Female patients performing urethral catheterization, particularly with compact HC, appear to be the primary beneficiaries.
- Further research may be needed to optimize HC use in specific pediatric neurogenic bladder populations.
Objective:
The objective of the paper was to compare the satisfaction of hydrophilic-coated catheters (HC) (SpeediCath, Coloplast Canada, Mississauga, ON) versus uncoated catheters in a pediatric neurogenic bladder population, in order to identify a target group for HC. The main hypothesis was that our patients, with regard to their limitations, might have difficulties using the HC.
Material And Methods:
A comparative prospective study was initiated in one pediatric rehabilitation centre. Out of the 39 patients who tried the HC during a routine clinic visit, 31 patients/parents accepted to participate in a 1-week trial and to answer a satisfaction questionnaire. Their medical records were reviewed for age, neurological disease, intellectual deficit, impaired dexterity and method of catheterization (Mitrofanoff/urethra).
Results:
Thirty of the 31 patients answered the satisfaction questionnaire. The median age for the 30 patients was 13.5 years (range 6-20 years). Of these patients, 19 were females (63%), 26 performed self-catheterization (87%), and 6 had Mitrofanoff (20%). Ten children (33%) would be ready to proceed with HC and all 10 children would receive catheterization by the urethra. Of these, 9 were females (90%), 8 used compact-HC (80%) and all were self-sufficient. Patients using compact-HC would continue with this catheter. In the patient comments, males catheterizing per-urethra and patients using a continent stoma requiring long catheters had problems with the excess of lubricant.
Conclusion:
Most children preferred their usual uncoated catheter and would not change for HC. Female patients catheterizing per-urethra with a compact-HC seem to benefit most from this catheter.
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