Coated catheters for intermittent catheterization: smooth or sticky?
Fader, M., Moore, K.N., Cottenden, A.M., Pettersson, L., Brooks, R. and Malone-Lee, J. (2001) Coated catheters for intermittent catheterization: smooth or sticky? BJU International, 88, (4), 373-377. (doi:10.1046/j.1464-410X.2001.02342.x).
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Description/Abstract
Objective: To evaluate the current range of hydrophilic-coated catheters for intermittent self-catheterization, focusing on the adherence of the catheter to the urethral mucosa at the end of catheterization.
Subjects and methods: In a prospective randomized study, 61 community-based men tested each of four different hydrophilic-coated catheters available in the UK at the time. Subjects used each of the four test catheters for 1 week in a random order, and were provided with the number and size of catheter they normally used. To assess the products, the subjects: (i) timed seven catheterizations using a stop-watch to determine the time taken from extracting the catheter from the water-filled package, to removing the catheter from the penis, having emptied the bladder; (ii) recorded the severity of 'sticking' on catheter removal on a three-point scale (not at all, a little, a lot); and (iii) completed a product-performance questionnaire.
Results: There were no significant differences in ratings of 'sticking' between the 'Easicath' and 'Lofric' (P > 0.05), but there were significant differences between these two products and the 'Aquacath' and the 'Silky', which were found to 'stick' more (P < 0.001). The 'Silky' was reported to stick significantly more than the 'Aquacath' (P < 0.001).
Conclusions: Adherence to the urethral mucosa on catheter removal was a common problem, occurring with all catheters, but two products were significantly more likely to stick than the other two. The clinical importance of 'sticking' and the long-term implications are currently unknown. The relative 'sticking' of uncoated catheters has also not been established.
| Item Type: | Article |
|---|---|
| ISSNs: | 1464-410X (print) |
| Related URLs: | |
| Keywords: | intermittent catheterization, product evaluation, urinary incontinence, catheters, |
| Subjects: | R Medicine > RT Nursing |
| Divisions: | University Structure - Pre August 2011 > Superseded (SONM) > Superseded (LCHN) |
| Item ID: | 19234 |
| Date Deposited: | 01 Feb 2006 |
| Last Modified: | 31 May 2011 23:27 |
| Contributors: | Fader, M. (Author) Moore, K.N. (Author) Cottenden, A.M. (Author) Pettersson, L. (Author) Brooks, R. (Author) Malone-Lee, J. (Author) |
| Date: | September 2001 |
| Status: | Published |
| URI: | http://eprints.soton.ac.uk/id/eprint/19234 |
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