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Intermittent catheterisation for long-term bladder management.

Jacqui Prieto1, Catherine L Murphy, Katherine N Moore

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This summary is machine-generated.

Current evidence on intermittent catheterisation strategies for preventing urinary tract infections (UTIs) is weak. More well-designed trials are needed to determine effective catheter designs, techniques, and cost-effectiveness.

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Area of Science:

  • Urology
  • Medical Devices
  • Infectious Disease Prevention

Background:

  • Intermittent catheterisation is common for incomplete bladder emptying.
  • Urinary tract infection (UTI) is the most frequent complication.
  • Catheter design, materials, coatings, and techniques vary, impacting user outcomes.

Purpose of the Study:

  • To compare different intermittent catheter designs, materials, techniques, and strategies.
  • To assess impact on UTI incidence, user satisfaction, preference, and cost-effectiveness.
  • To evaluate outcomes in adults and children using intermittent catheterisation.

Main Methods:

  • Searched Cochrane Incontinence Group Register, MEDLINE, and other databases (up to September 2013).
  • Included randomised controlled trials (RCTs) and cross-over trials comparing interventions.
  • Two reviewers assessed quality and abstracted data; meta-analysis was limited by heterogeneity.

Main Results:

  • 31 trials (13 RCTs, 18 cross-over) were included; many were small with varied follow-up.
  • No convincing evidence that techniques or catheter types affect UTI incidence.
  • Wide confidence intervals prevented identification of clinically important differences; cost-effectiveness was not assessed.

Conclusions:

  • Current evidence on intermittent catheterisation strategies for UTI prevention is weak.
  • User-reported outcomes showed variability; research design issues are significant.
  • More well-designed trials, including cost-effectiveness analysis, are strongly recommended.