Patient preferences for clean intermittent catheterisation and transurethral indwelling catheterisation for treatment of abnormal post-void residual bladder volume after vaginal prolapse surgery

Abstract

Objective To determine patient preferences for clean intermittent catheterisation (CIC) relative to transurethral indwelling catheterisation (TIC) as the treatment of abnormal postvoid residual bladder volume (PVR) following vaginal prolapse surgery.Design Scenario-based preference assessment during face-to-face interview. Setting Teaching hospital.Population A sample of consecutive patients scheduled for vaginal prolapse surgery.Methods Preference for CIC relative to TIC was assessed using written treatment scenarios. Initially, treatment duration was set at 3 days and the risk for urinary tract infection (UTI) was 30% for both interventions. Both treatment duration and UTI risk related to TIC were kept constant. Treatment duration and UTI risk after CIC were varied until patients altered their preference. In this way, the duration of catheterisation and level of UTI risk related to CIC at which patients would prefer CIC to TIC could be determined.Main outcome measures Patients' preference for CIC relative to TIC.Results When both duration of treatment and UTI risk were identical for both interventions, 64% of patients prefer CIC. Ninety-two percent of patients prefer CIC when CIC lasts 3 days but results in a 15% lower risk of UTI. Assuming that CIC results in a 15% risk of UTI, a total of 98 and 99% of patients prefer CIC to TIC when catheterisation with CIC last 2 and 1 day, respectively.Conclusions Most patients with abnormal PVR prefer CIC to TIC. The results of a recent randomised controlled trial showed that CIC resulted in a 2 days shorter catheterisation and more than 20% reduced risk of UTI. These conditions correspond to a preference of 99% of patients for CIC.

Comparing clean intermittent catheterisation and transurethral indwelling catheterisation for incomplete voiding after vaginal prolapse surgery: a multicentre randomised trial

“…However, we also agree that the women's preferences need to be further explored and have done this by a patient preference study that evaluates in detail how women rate intervention-related bother. 5 We agree with Dixon et al 3 that vigilant bladder care is essential when introducing CIC. We also observed a reserved attitude of nursing staff to this intervention at the time of introduction.…”

Catheter-Associated Urinary Tract Infections in Adults: Diagnosis, Treatment, and Prevention

“…32,33 Alternatives, such as external catheters or intermittent catheterization, should be considered before indwelling urinary catheter placement since both options are associated with a reduced CAUTI risk. [41][42][43][44] Although indwelling urinary catheters can be seen as being more convenient for both patients and healthcare providers, many patients have expressed a preference for the use of intermittent catheterization compared with indwelling urinary catheterization. 43 For urinary retention, bladder scanning can noninvasively assess the amount of residual urine in a patient's bladder and can avoid unnecessary insertion of an indwelling urinary catheter.…”

“…[41][42][43][44] Although indwelling urinary catheters can be seen as being more convenient for both patients and healthcare providers, many patients have expressed a preference for the use of intermittent catheterization compared with indwelling urinary catheterization. 43 For urinary retention, bladder scanning can noninvasively assess the amount of residual urine in a patient's bladder and can avoid unnecessary insertion of an indwelling urinary catheter. However, if indwelling urinary catheters are ultimately needed, they must be inserted and maintained appropriately.…”

A guide for urogynecologic patient care utilizing telemedicine during the COVID-19 pandemic: review of existing evidence

“…We found 23 articles, of which 10 had data extracted [93][94][95][96][97][98][99][100][101][102]. Thirteen additional articles provided information pertinent to management of voiding dysfunction during this pandemic [103][104][105][106][107][108][109][110][111][112][113][114][115]. Based on review of the literature (23 articles) and expert consensus:…”