Almost two thirds (66%) of nurses in a US survey did not base their practice on clinical guidelines.
September 15, 2020
Intermittent catheterization (IC) is frequently used to manage lower urinary tract dysfunctions, but research shows that care for patients using IC may not always be based on evidence. The purpose of this review was to summarize evidence related to adherence to IC, complication rates, satisfaction with IC, and its effect on health-related quality of life.
Topics: Neurogenic bladder, Spina Bifida, Intermittent Catheterization
Science Alert: Neurogenic lower urinary tract dysfunction from 3 perspectives - spinal cord injury, spina bifida, and multiple sclerosis.
January 30, 2019
One common reason behind lower urinary tract dysfunction is neurological damage secondary to spinal cord injury (SCI), spina bifida, or multiple sclerosis. Even though the everyday situation is different for people living with these conditions, they share many problems linked to their bladder.
Topics: Neurogenic bladder, Spinal Cord Injury (SCI), Multiple Sclerosis (MS)
Combining approaches to bladder and bowel dysfunction
November 30, 2018
The benefits of patient centered care cannot be overestimated. A holistic approach reveals avenues for care that might otherwise be left neglected – opportunities missed to enhance the wellbeing of the patient. But what would a working model look like when it concerns patients with neurogenic bladder and bowel?
Topics: Bladder and bowel interaction, Neurogenic bladder, Neurogenic bowel
Science Alert: Intermittent catheterization for Bladder management – can infections be avoided?
January 30, 2018
Intermittent catheterization is today a first choice therapy for people with neurogenic or non-neurogenic lower urinary tract dysfunction related to incomplete bladder emptying. In recent years, the evidence for the safety of catheter reuse has been debated.
Topics: Clean Intermittent Catheterization (CIC), Neurogenic bladder, Lower Urinary Tract Symptoms (LUTS)
Science Alert: Children with specific bladder care needs
November 21, 2017
Urinary tract anomalies are sometimes seen in children, and many of them require active treatment to achieve continence. Vesicoureteral reflux and/or a neurogenic bladder secondary to meningomyelocele (e.g. spina bifida) are two examples that require swift action.
Catheterization is sometimes a suitable solution and new research has studied the need for local anesthetic associated with catheterization. A meta-analysis combined many study results and concluded that the effect of local anesthetic was limited.
Sometimes, catheterization is not possible through the urethra and a continent catheterizable channel is surgically created. Different procedures (e.g. Mitrofanoff) can be used and two new studies look into the complications associated with this kind of surgery. Both studies conclude that surgical procedures should only be used in children who cannot perform urethral catheterization, because surgical revisions and long-term complications are common.
Another, maybe more far-fetched, solution to these children's problems is the use of stem cell therapy. A new review summarizes the available evidence for stem cell therapy and show that the use of bone marrow stem cells has potential in bladder tissue regeneration.
Topics: Science Alert, Urinary Tract Infection (UTI), Neurogenic bladder, Catheter-associated UTI (CAUTI)
