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PEER-TO-PEER CLINICAL CONVERSATIONS
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Advancing Continence Care: Exploring Closed System Catheters for Bladder Dysfunction
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Don Darais and Diane Newman, DNP, ANP-BC, BCB-PMD, FAAN
In a detailed exchange, Diane Newman, a Urologic Nurse Practitioner, and Don Darais, Associate Director of US Marketing for ConvaTec, explore bladder dysfunction and the latest in catheter tech.
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Ensuring Smooth Catheterization: The Role of Polished Eyelets in Urethral Health
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Don Darais and Diane Newman, DNP, ANP-BC, BCB-PMD, FAAN
Diane Newman and Don Darais delve into the specifics of catheter design and the importance of 'eyelets.' They explain that these holes, located on the sides of the catheter and not the tip, allow urine to drain out.
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| Techniques and Procedures for Use - Intermittent Catheters
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| Diane Newman, DNP, ANP-BC, BCB-PMD, FAAN
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| Intermittent catheterization is used to manage urinary retention in patients with neurogenic bladder conditions. Manufacturers recommend single-use catheters, and the FDA advises against reusing them due to safety concerns. Medicare changed its reimbursement policy to allow for up to 200 intermittent catheters per month per individual, aiming to prevent the unsafe reuse of single-use catheters.
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| Complications - Intermittent Catheters
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| Diane Newman, DNP, ANP-BC, BCB-PMD, FAAN
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| Intermittent catheterization (IC) is the preferred procedure for individuals with incomplete bladder emptying from non-neurogenic or neurogenic lower urinary tract dysfunction. IC is now considered the gold standard for bladder emptying in individuals following spinal cord injury (SCI) who have sufficient manual dexterity. The goals of bladder management in individuals with an SCI include prevention of infection, injuries, or trauma, optimizing social continence and function, and preventing upper tract deterioration.
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| An Overlooked Complication of the Clean Intermittent Catheters: Prostate Calculi - Beyond the Abstract
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| Gökhan Ecer, MD
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| Today, the prevalence of prostate calculi is increasing due to the increasing use of radiological imaging methods. Prostate calculi are mostly detected in X-RAY graphics, transrectal ultrasonography, and computed tomography imaging. Although there are different factors in the etiology of prostate calculi, the most important ones are; Intraprostatic infection reflux in the urethra, bladder, and sphincter dysfunction, obstruction in the prostatic ducts, hypercalciuria, low urine pH, and increased uric acid excretion.
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| A Scoping Review on the Impact of Hydrophilic Versus Non-Hydrophilic Intermittent Catheters on UTI, QoL, Satisfaction, Preference, and Other Outcomes in Neurogenic and Non-Neurogenic Patients Suffering from Urinary Retention- Beyond the Abstract
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| Andrei Krassioukov, MD
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| A new review by Barken and Vaabengaard investigates the evidence comparing hydrophilic versus non-hydrophilic intermittent catheters for the treatment of bladder dysfunction. The review concludes that evidence in general supports hydrophilic catheters over non-hydrophilic ones in terms of higher satisfaction, preference, and quality of life.
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