Residual urine after intermittent catheterization in females using two different catheters

Biering‐Sørensen, Fin; Hansen, Henrik Lyngbeck; Nielsen, Pia N; Looms, Dagnia

doi:10.1080/00365590601068983

Cited by 17 publications

(22 citation statements)

References 6 publications

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“…Mean residual urine volumes reported by other authors range between 9 and 40 ml. [4][5][6] Notable is the wide variation in measured volumes, between 0 and 250 ml, in the present study. Nevertheless, relevant residual urine volumes 450 and 4100 ml were only observed after 6% (n ¼ 7) and 3% (n ¼ 4), respectively, of all catheterizations (n ¼ 120).…”

Section: Discussionmentioning

confidence: 71%

“…Wide variations in residual urine volumes after IC in some study participants were also observed by other authors. 5 Interestingly, some individuals able to apply correct IC techniques do not always succeed in emptying their bladder sufficiently. However, an insufficient bladder evacuation seems to get compensated during the next catheterization.…”

Section: Discussionmentioning

confidence: 99%

“…3 However, there are only sparse data on the efficiency of IC in evacuating urine from the bladder, indicating that there is some residual urine after IC in certain patients. [4][5][6] Residual urine is considered to be an important risk factor for urinary tract infections (UTIs), 7,8 and even small volumes may predispose for infections. 4 Although less frequent than with indwelling catheterization, 9,10 recurrent UTIs are a major problem affecting SCI patients with NLUTD using IC, even when applying adequate catheterization techniques.…”

Section: Introductionmentioning

confidence: 99%

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Residual urine volumes after intermittent catheterization in men with spinal cord injury

2013

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Study design: Prospective cross-sectional study. Objectives: To investigate residual urine volumes after intermittent catheterization (IC) in men with spinal cord injury (SCI) and the effect of residual urine on the rate of symptomatic urinary tract infections (UTIs). Setting: Single SCI rehabilitation center in Switzerland. Methods: Sixty men experienced in IC (X6 months) emptied their bladder twice by IC. Immediately after catheterization, residual urine was determined by ultrasonography. Personal characteristics and bladder diary details (annual UTI rate, catheter type) were also collected. Results: The median residual urine volume was 7.0 ml (lower quartile (LQ): 0.0, upper quartile (UQ): 20.3 ml). No residual urine was observed after 42% (n ¼ 50) of all catheterizations (n ¼ 120). Unsatisfactory residual volumes (that is, 450 ml) were observed after 9% (n ¼ 11) of all catheterizations. There was no significant (P ¼ 0.95) difference between the median residual urine volume of men with recurrent (42 UTIs per year) UTIs (2.5 ml, LQ: 0.0, UQ: 29.3 ml) and the volume of those with sporadic (p2 UTIs per year) UTIs (6.0 ml, LQ: 0.0, UQ: 20.0 ml). INTRODUCTIONPioneered by Guttmann and Frankel 1 and Lapides et al., 2 intermittent catheterization (IC) is now the standard method for bladder evacuation in spinal cord injury (SCI) patients suffering from urinary retention as a result of neurogenic lower urinary tract dysfunction (NLUTD). 3 However, there are only sparse data on the efficiency of IC in evacuating urine from the bladder, indicating that there is some residual urine after IC in certain patients. [4][5][6] Residual urine is considered to be an important risk factor for urinary tract infections (UTIs), 7,8 and even small volumes may predispose for infections. 4 Although less frequent than with indwelling catheterization, 9,10 recurrent UTIs are a major problem affecting SCI patients with NLUTD using IC, even when applying adequate catheterization techniques. 11 Merritt et al. 8 have reported greater residual urine volumes after IC in SCI patients with bacteriuria compared with those with negative urine cultures. However, there are no current data on residual urine volumes after IC in SCI patients and their effect on the occurrence of symptomatic UTIs.We have therefore prospectively investigated the residual urine volumes after IC in men with NLUTD resulting from SCI. In addition, the hypothesis that individuals with recurrent (42 UTIs per year) symptomatic UTIs show greater residual urine volumes after IC compared with those with sporadic (p2 UTIs per year) symptomatic UTIs was tested.

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Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Residual urine volumes after intermittent catheterization in men with spinal cord injury

2013

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“…Sample size Assuming a non-inferiority limit of a ±20-ml difference in RU volume and an estimated corresponding standard deviation of 4.7 ml (derived from a previous study 4 ), the estimated required sample size for this crossover noninferiority trial (one-sided significance level, 2.5%; power, 90%) was six subjects per sequence group. It was decided, however, to include approximately 36 subjects (to collect evaluable test results from 30 subjects) so that the study could be considered safe against inexact assumptions and provide enough power to allow for the reliable testing of secondary end points.…”

Section: Methodsmentioning

confidence: 99%

“…Shorter catheters may allow more discreet use, an attribute that has been identified as important by users of intermittent catheters. 4 The aim of this study was to evaluate the SpeediCath Compact Male catheter in terms of its performance, safety and subject acceptance when compared with a standard-length male intermittent catheter.…”

Section: Introductionmentioning

confidence: 99%

Clinical evaluation of a newly developed catheter (SpeediCath Compact Male) in men with spinal cord injury: residual urine and user evaluation

et al. 2011

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Objective: To evaluate the performance of a new 30-cm-long, telescoping male intermittent catheter (SpeediCath Compact Male; Coloplast A/S, Humlebaek, Denmark) in urinary bladder emptying, safety and subject acceptance vs a standard-length male intermittent catheter (SpeediCath). Materials and methods: In a prospective, randomized, multicenter, crossover non-inferiority study, 37 male intermittent catheter users self-catheterized three times with the test catheter on one test day and three times with the standard-length male (reference) catheter on another test day. Residual urine (RU) volume in the bladder after catheterization was measured by ultrasound. Safety was assessed in the entire study period in terms of adverse events (AEs) and adverse device events (ADEs). Subjects evaluated their experience, sensation, disposal, bleeding and discomfort with the test and reference catheters and final catheter preference. Results: SpeediCath Compact Male did not differ from the reference catheter in terms of performance (bladder emptying). The upper confidence limit of the mean difference between absolute RU volumes for the test and reference catheter groups did not exceed a pre-established non-inferiority limit of 20 ml, thereby showing the test catheter's non-inferiority to the reference catheter (that is, no worse at bladder emptying). The only AE/ADE reported was one instance of mild urethral burning for 30 min after catheterization, which was judged possibly related to the test catheter but resolved quickly. Conclusions: The SpeediCath Compact Male catheter is as efficient as a conventional intermittent catheter (SpeediCath) at emptying the bladder with the additional benefit of being more discreet and easier to use.

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Intermittent catheterisation for long-term bladder management

Prieto

Murphy

Moore

et al. 2014

Cochrane Database of Systematic Reviews

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Analysis 3.2. Comparison 3 Hydrophilic-coated or other pre-lubricated catheter versus other catheter (pre-lubricated, coated or uncoated), Outcome 2 Number with symptomatic UTI.. .. .. .. .. .. .. .. Analysis 3.3. Comparison 3 Hydrophilic-coated or other pre-lubricated catheter versus other catheter (pre-lubricated, coated or uncoated), Outcome 3 Number of UTIs per month of use.. .. .. .. .. .. .. .. Analysis 3.4. Comparison 3 Hydrophilic-coated or other pre-lubricated catheter versus other catheter (pre-lubricated, coated or uncoated), Outcome 4 Number with urethral trauma/bleeding/macroscopic haematuria.. .. . Analysis 3.5. Comparison 3 Hydrophilic-coated or other pre-lubricated catheter versus other catheter (pre-lubricated, coated or uncoated), Outcome 5 Number with microscopic haematuria.

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Residual urine after intermittent catheterization in females using two different catheters

Abstract: In most females, the SpeediCath Compact catheter is at least as efficient at emptying the bladder as more conventional female catheters.

Cited by 17 publications

References 6 publications

Residual urine volumes after intermittent catheterization in men with spinal cord injury

Residual urine volumes after intermittent catheterization in men with spinal cord injury

Clinical evaluation of a newly developed catheter (SpeediCath Compact Male) in men with spinal cord injury: residual urine and user evaluation

Intermittent catheterisation for long-term bladder management

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