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  4. Disability and sustainability: reusable versus single-use catheters for persons with neurogenic bladder due to spinal cord injury

Disability and sustainability: reusable versus single-use catheters for persons with neurogenic bladder due to spinal cord injury

Spinal Cord Series and Cases, 2020 · DOI: https://doi.org/10.1038/s41394-020-00340-y · Published: August 17, 2020

Spinal Cord InjuryUrology

Simple Explanation

Intermittent catheterization (IC) and self-catheterization (ISC) are fundamental methods for management of neurogenic bladder. Reusable catheters are rare in developed countries; thus, further studies are needed to understand whether single-use consumers are open to the idea of reusing catheters. The major reason not to switch from reusable catheters to single-use is the belief that UTI is more likely with reusable ones.

Study Duration
Not specified
Participants
Persons with neurogenic bladder due to spinal cord injury
Evidence Level
Not specified

Key Findings

  • 1
    A metanalysis of seven trials performed by Christison et al. (2017) reported no difference in UTI rates between the two IC techniques.
  • 2
    Kanaheswari et al. found an increase of prevalence of only asymptomatic bacteriuria in patients who reused catheters for a long period, with no increase in UTI [6].
  • 3
    Sun et al. conducted a recent study to investigate how much of an impact single-use CIC had on the environment in the US. His study found that 206 million litres of waste per year could be produced by single-use CIC, or the equivalent of 80 Olympic swimming pools.

Research Summary

Reusable catheters are not widely used in industrialized countries due to the widespread availability of single-use catheters and patients’ concerns. However, currently there are only a few studies that attempt to correlate UTI and reusable versus single-use catheters, and some of these studies do not show a higher risk of UTI in patients using reusable catheters. The impact of our decisions about bladder management on the environment and worldwide pollution is no longer negligible, and this aspect of care needs to be addressed.

Practical Implications

Future Research

Further research is needed to thoroughly evaluate the relationship between reusable catheters and UTI.

Environmental Impact Consideration

Evaluate current practices to help reduce health care costs and environmental pollution by optimizing advanced technologies for reusable catheters.

Personalized Bladder Management

Consider adopting both single-use and reusable procedures to create personalized bladder management that meets users daily needs.

Study Limitations

  • 1
    Few studies correlate UTI and reusable versus single-use catheters.
  • 2
    Some studies on reusable catheters and UTI have methodological biases.
  • 3
    Insufficient and unstandardized use of lubricant in some studies.

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