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Clean intermittent catheterization revisited.

Eliza Lamin1, Diane K Newman2

  • 1Penn Center for Continence and Pelvic Health, Division of Urology, Penn Medicine, Perelman School of Medicine, University of Pennsylvania, 34th and Civic Center Boulevard, Philadelphia, PA, 19104, USA.

International Urology and Nephrology
|March 10, 2016
PubMed
Summary
This summary is machine-generated.

Clean intermittent catheterization (CIC) is a vital bladder management technique for individuals unable to empty their bladder. Advances in CIC technology offer improved options, but also raise questions about cost and infection benefits.

Keywords:
Clean intermittent catheterizationHydrophilic catheterIntermittent catheterizationIntermittent self-catheterizationNeurogenic lower urinary tract dysfunctionUrinary tract infection

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Area of Science:

  • Urology
  • Nephrology
  • Medical Technology

Background:

  • Catheterization, a 3000-year-old urologic procedure, has evolved significantly.
  • Clean intermittent catheterization (CIC), described in 1972, is crucial for patients with neurogenic lower urinary tract dysfunction.
  • Failure to empty the bladder can lead to elevated storage pressures and upper tract deterioration.

Purpose of the Study:

  • To review the current applications of intermittent catheterization (IC).
  • To examine advancements in IC catheter technology and systems.
  • To analyze the cost and infectious benefits of different catheter types.

Main Methods:

  • Literature review of intermittent catheterization (IC) techniques and technologies.
  • Analysis of current catheter materials and system designs.
  • Comparison of reusable versus single-use catheters for IC.

Main Results:

  • IC is the preferred method for bladder management in specific patient populations.
  • Significant technological evolution in IC catheters has occurred over the last 20 years.
  • Controversies exist regarding the benefits and drawbacks of new IC technologies.

Conclusions:

  • Intermittent catheterization (IC) remains a cornerstone of bladder management.
  • Ongoing advancements in catheter technology require careful evaluation of cost-effectiveness and infection rates.
  • Further research is needed to address the controversies surrounding modern IC practices.