Intermittent catheterization with a prelubricated catheter in spinal cord injured patients: A prospective randomized crossover study

Antonella Giannantoni, Saving M. Di Stasi, Giorgio Scivoletto, Guido Virgili, Susanna Dolci, Massimo Porena

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: We compared the safety and patient acceptance of a conventional Nélaton and a prelubricated nonhydrophilic catheter in 18 spinal cord injured patients on intermittent catheterization. Materials and Methods: In a prospective crossover study each catheter was used for 7 weeks and the initial course was randomized. Urinalysis and urine culture were performed at 2, 4 and 7 weeks. Urethral trauma was evaluated by urethral cell count on the surface of each catheter used on the last day of each study period. Patient satisfaction was assessed at the end of the study by a questionnaire using multiple visual analog scales. Results: Urinary tract infection was identified in 12 and 4 patients on a Nélaton and a prelubricated nonhydrophilic catheter (p = 0.03), while asymptomatic bacteruria was identified in 18 and 8 (p = 0.0244), respectively. The mean urethral cell count plus or minus standard deviation on the catheter surface was 6.7 ± 2.8 × 104 and 15.1 ± 8.9 ×104 for the prelubricated nonhydrophilic and the Nélaton catheter, respectively (p = 0.01). The prelubricated nonhydrophilic catheter resulted in a better mean satisfaction score than the Nélaton catheter (2.33 ± 1.06 versus 4.72 ± 2.13, p = 0.022). Urethral bleeding was reported in 2 patients during the study period while using the Nélaton catheter. Conclusions: The prelubricated nonhydrophilic catheter is a safe, effective and comfortable option in spinal cord injured patients on intermittent self-catheterization.

Original languageEnglish
Pages (from-to)130-133
Number of pages4
JournalJournal of Urology
Volume166
Issue number1
Publication statusPublished - 2001

Keywords

  • Disposable equipment
  • Spinal cord injuries
  • Urethra
  • Urinary catheterization

ASJC Scopus subject areas

  • Urology

Fingerprint Dive into the research topics of 'Intermittent catheterization with a prelubricated catheter in spinal cord injured patients: A prospective randomized crossover study'. Together they form a unique fingerprint.

Cite this