Related Experiment Video
Updated: May 14, 2026

An In Vitro Bladder Model of Catheter-Associated Urinary Tract Infection
Published on: June 24, 2025
Leakage associated with urinary catheter usage: a design challenge
Robert Theriault1, Peggy Ward-Smith, Charles Soper
1Croydon Health Services, Croydon, United Kingdom.
Catheter bypassing, or leakage around indwelling bladder catheters, is common. This study explores catheter design flaws as a potential cause, proposing further research to test this hypothesis.
Area of Science:
- Urology
- Medical Device Design
Background:
- Indwelling bladder catheter-associated leakage (catheter bypassing) is a frequent clinical issue.
- Existing literature attributes leakage to factors like catheter size and anatomical issues.
Purpose of the Study:
- To investigate the hypothesis that indwelling catheter design flaws contribute to catheter bypassing.
- To propose a potential solution based on clinical experience and theoretical rationale.
Main Methods:
- Literature review to identify known causes of catheter bypassing.
- Clinical experience and theoretical reasoning to formulate a new hypothesis regarding design flaws.
Main Results:
- Identified catheter size and anatomical abnormalities as documented causes of leakage.
- Posited catheter design flaws as an underrecognized cause of indwelling catheter leakage.
Conclusions:
- Catheter design may be a significant, yet overlooked, factor in indwelling catheter leakage.
- Further rigorous research is warranted to validate the hypothesis and explore potential design-based solutions.
Related Concept Videos
Urine Studies II: Urine Culture and Sensitivity Test
Urinary Tract Infection IV: Nursing Management
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
Nursing Assessment of the Genitourinary System I: Health History
Urinary Tract Infection II: Pathophysiology
Design Example: Designing a Residential Plumbing System

