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Registry of Systematic Reviews - Search Results

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1. Citation: Shamout, S., Biardeau, X., Corcos, J., & Campeau, L. (2017). Outcome comparison of different approaches to self-intermittent catheterization in neurogenic patients: A systematic review. Spinal Cord, 55(7), 629-643.
Keywords: Bladder function, catheterization, literature reviews, outcomes, self care, spinal cord injuries, urinary disorders
Abstract: Study systematically reviewed the literature on different approaches to self-intermittent catheterization used by adults with neurogenic lower urinary tract dysfunction. Objectives were to identify different catheter materials, designs, or techniques; examine their impact on urinary tract infections (UTIs), urethral trauma, cost-effectiveness, quality of life, and patient satisfaction; and determine the most appropriate material and technique to perform self-intermittent catheterization. A search was conducted in PubMed/Medline, Embase and Cochrane Central Register of Controlled Trials (CENTRAL) databases for articles published by November 2015. After screening 3768 articles, 31 were included in the final synthesis (level of evidence 1b to 2b). The 2188 trial participants were mainly adults with spinal cord injury and women with multiple sclerosis. Hydrophilic-coated catheters tended to decrease the incidence of UTI as well as urethral trauma and improve patient’s satisfaction when compared with non-hydrophilic-coated catheters. Similarly, prelubricated catheters were associated with better results in terms of patient satisfaction. Sterile technique seemed to decrease the incidence of recurrent UTI; however, these results are counter-balanced by significantly increasing cost compared with clean catheterization. This review demonstrated advantages of hydrophilic-coated catheters in decreasing risk of UTI and urethral trauma as well as improving patient’s satisfaction. Prelubricated catheters have been shown to be superior to conventional polyvinyl chloride catheters. Randomized controlled trials comparing hydrophilic and prelubricated catheters must be conducted to assess possible superiority and cost-effectiveness.
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Record Updated:2018-11-15

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