Science Alert: Intermittent catheterization – A multipurpose therapy

Posted by Maria Åberg Håkansson, September 19 2017

At a first glance, assisted urine voiding through catheterization may seem like an unnatural thing. If, however, the evidence surrounding intermittent catheterization (a more technical name for it) is studied, it becomes clear that this is indeed something useful. New research reveals that intermittent catheterization is a central part of many treatment regimens. In this month’s Science Alert we look into some of them.  

Three newly published studies highlight the use of intermittent catheterization in children. The therapy is identified as a central treatment option for urological management of children with spina bifida, but it is also recognized as a suitable and central option in resource-poor settings. In another, more resource-strong setting, evidence in favor of hydrophilic-coated catheters for intermittent use has been found. The evidence suggests that hydrophilic-coated catheters decrease the risk of urinary tract infection (UTI), as compared to non-coated catheters, when used for intermittent catheterization in children with neurogenic bladder. 

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Topics: Science Alert, UTI, CAUTI

Science Alert: Catheter-associated Urinary Tract Infections (CAUTI) – Success Stories

Posted by Maria Åberg Håkansson, August 29 2017

New success stories are being published every month on how to reduce the burden of catheter-associated urinary tract infections (CAUTI).

The vast majority of studies share successful results from prevention programs and show a significant CAUTI reduction of 9% per year or even higher depending on the method used. The most important part of the solution is to restrict the use of indwelling catheters.

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Topics: Science Alert, catheter associated urinary tract infections, CAUTI

Science Alert: Treatment of Children with Neurogenic Bladder and Bowel Dysfunction

Posted by Sofi Sigvardsson, August 22 2017

Bowel function in children is a common concern, not only for the child but also parents and caregivers. As it is perceived as a measurement of health, deviations from normal bowel function often instigate numerous visits to a primary care provider.

Consequently, bowel dysfunction is one of the most common problems evaluated by pediatricians, pediatric gastroenterologists, and pediatric surgeons. This may be the reason why two recent publications review diagnosis, standard bowel care, and prevention of pediatric constipation. 

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Topics: Science Alert, Neurogenic bladder, Neurogenic bowel, bowel dysfunction

Science Alert: Spinal Cord Injury (SCI) - Beyond the injury

Posted by Maria Åberg Håkansson, August 15 2017

Initial management after spinal cord injury is crucial in saving lives. It is often characterized by early transfer to specialized centers and early initiation of treatments.

Long-term management is, however, almost as important. New research focuses on both of these and stresses the importance of early prevention of chronic complications, as these are common health problems affecting the quality of live for people living with a spinal cord injury

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Topics: Science Alert, Spinal cord injury, sci

Science Alert: Urinary tract infection (UTI) – Invincible or possible to defeat?

Posted by Maria Åberg Håkansson, June 20 2017

The battle against urinary tract infections (UTIs) is on. UTIs are a heavy burden for many: the healthcare system, society and, not least, the individual.

Recurrent problems are common among people with spinal cord injury and patients suffering from incomplete bladder emptying. The link between catheter use and UTI is also sufficiently strong to be defined by its own term, catheter-associated urinary tract infection (CAUTI).

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Topics: Science Alert, UTI, CAUTI

Science Alert: Bowel dysfunction in focus

Posted by Sofi Sigvardsson, June 15 2017

Chronic constipation (CC) is a common bowel dysfunction. There are several reasons for bowel dysfunction and several treatment methods, which are addressed in a new review article.

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Topics: Science Alert, bowel management, bowel dysfunction

Science Alert: Living with spinal cord injury – long-term perspective

Posted by Maria Åberg Håkansson, May 30 2017

Intermittent catheterization seems to be key to improving quality of life when living with a spinal cord injury. New research has confirmed that the therapy can increase the number of quality-adjusted life years (QALYs) by 93% and at the same time reduce urinary incontinence by 38%.

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Topics: Science Alert, Spinal cord injury, catheterization, Intermittent Catheterization

Science Alert: Bowel Function in Focus - Fecal Incontinence

Posted by Sofi Sigvardsson, May 23 2017

Fecal incontinence (FI) is a debilitating condition with a significant health burden. Although it has great clinical relevance and a profound impact on quality of life, there is still not much known about how to effectively treat this condition. This may be due to the diversity of causes of fecal incontinence, but may also be due to the lack of clinical investigation into possible treatment therapies.

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Topics: Science Alert, bowel management, faecal incontinence, incontinence

Science Alert: The end of CAUTI = the end of indwelling urinary catheter use?

Posted by Maria Åberg Håkansson, May 17 2017

Catheter-associated urinary tract infection (CAUTI) is the most common healthcare-associated infection and it has major cost implications for health services. It is a highly researched field with several new studies published every month covering prevention strategies and interventions.

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Topics: Catheter, Science Alert, CAUTI

Science Alert: Catheterization – for instant relief and long-term use

Posted by Maria Åberg Håkansson, May 2 2017

Catheterization is a therapy form with a long history, and its use for instant relief of urinary retention is not disputed. The classic case of urinary retention is often seen among men with an enlarged prostate. Less known is the prevalence of urinary retention among women.

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Topics: Science Alert, catheterization, Intermittent Catheterization

Science Alert: Bowel dysfunction – management strategies

Posted by Sofi Sigvardsson, April 25 2017

Available treatment options for bowel dysfunction vary depending on symptoms, but generally when starting therapy, a conservative approach is recommended. However, as one study shows, there is a reduction in bowel function over time in persons with neurogenic bowel disorders.

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Topics: Science Alert, Bowel therapy, bowel management

Science Alert: Bladder and bowel synergies – different sides of the same coin

Posted by Maria Åberg Håkansson, April 18 2017

The bladder and bowel share the pelvic floor and, in spite of known (and unknown) synergies, limited research has been undertaken on this topic. There are, for example, few studies exploring the impact of bladder and bowel dysfunction on social activities and quality of life.

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Topics: Science Alert, bladder, bowel management

Science Alert: Multiple Sclerosis (MS) – Stem cell therapy and symptom control

Posted by Maria Åberg Håkansson, April 11 2017

Multiple Sclerosis (MS) is an autoimmune disease. This means that the immune system attacks the central nervous system and causes nerve damage and communication breakdown between brain and body.

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Topics: Science Alert, MS

Science Alert: Bladder and bowel care in focus – from children to the elderly

Posted by Maria Åberg Håkansson, March 31 2017

Bladder and bowel problems are common and of high importance for people with spinal cord injury and other neurogenic damage.

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Topics: Science Alert, bladder, bowel management

Science Alert: Men’s Health – Urethral Stricture Disease

Posted by Maria Åberg Håkansson, February 28 2017

Urethral stricture is a medical condition that mainly affects men. It can restrict urinary flow due to a narrowing of the urethra, and the causes can include trauma or inflammation.

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Topics: Science Alert, Men's Health, Urethral Stricture Disease

Science Alert: Spinal Cord Injury – beyond the injury

Posted by Sofi Sigvardsson, February 21 2017

Health problems are common after a spinal cord injury and they have been found to have a great impact on day to day life. A recent publication describes the extent of this impact and also lists the most frequent problems, such as bladder and bowel regulation.

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Topics: Science Alert, Spinal cord injury, sci

Science Alert: Intermittent Catheterization – An Old Technique With a New Twist

Posted by Maria Åberg Håkansson, February 16 2017

Did you know that intermittent catheterization has been practiced since around 300 BC? The therapy certainly has deep roots involving a lot of innovative solutions, such as river reeds and onion stems for the catheter, and animal fat as lubrication.

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Topics: Science Alert, IC, Intermittent Catheterization

Science Alert: Prevention of CAUTI - Restricted indwelling catheter use

Posted by Maria Åberg Håkansson, February 7 2017

Catheter-associated urinary tract infection (CAUTI) is a hassle and a great contributor to the wide spread of antibiotic resistant bacteria. Recent research shows that inappropriate use of urethral indwelling catheters in hospitals is one main reason behind CAUTIs.

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Topics: Science Alert, CAUTI

Science Alert: Management of the neurogenic bladder – now and then

Posted by Maria Åberg Håkansson, February 1 2017

Lower urinary tract symptoms are common after nerve damage and a new review summarizes the treatment forms and reasons behind it in patients with Parkinson disease. One of the treatment options available is intermittent catheterization.

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Topics: Science Alert, Neurogenic bladder

Science Alert: Living with a Spinal Cord Injury

Posted by Maria Åberg Håkansson, January 26 2017

There is no doubt that physical disability is of central concern for a person with spinal cord injury. Recent research however highlights that less evident problems are more common, such as bowel and bladder issues. 

This might be the reason why many treatment forms and research studies are addressing these problems. 

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Topics: Science Alert, Spinal cord injury