Document Detail

Catheter policies for management of long term voiding problems in adults with neurogenic bladder disorders.
MedLine Citation:
PMID:  22161386     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Management of the neurogenic bladder has the primary objectives of maintaining continence, ensuring low bladder pressure (to avoid renal damage) and avoiding or minimising infection. Options include intermittent urethral catheterisation, indwelling urethral or suprapubic catheterisation, timed voiding, use of external catheter (for men), drug treatment, augmentation cystoplasty and urinary diversion.
OBJECTIVES: To assess the effects of using different types of urinary catheters and external (sheath) catheters in managing the neurogenic bladder, compared to alternative management strategies or interventions.
SEARCH METHODS: We searched the Cochrane Incontinence Group Specialised Register (searched 1 November 2011), which contains trials identified from the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE and CINAHL, and handsearching of journals and conference proceedings. We sought additional trials from other sources such as reference lists of relevant articles and contacting consultants in Spinal Cord Injury Centres throughout the United Kingdom.
SELECTION CRITERIA: All randomised and quasi-randomised controlled trials comparing methods of using catheters to manage urinary voiding in people with neurogenic bladder.
DATA COLLECTION AND ANALYSIS: Abstracts were independently inspected by the reviewers and full papers were obtained where necessary.
MAIN RESULTS: Approximately 400 studies were scrutinised. No trials were found that met the inclusion criteria, and five studies were excluded from the review.
AUTHORS' CONCLUSIONS: Despite a comprehensive search no evidence from randomised or quasi-randomised controlled trials was found. It was not possible to draw any conclusions regarding the use of different types of catheter in managing the neurogenic bladder.
Jim Jamison; Suzanne Maguire; John McCann
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Publication Detail:
Type:  Journal Article; Review     Date:  2011-12-07
Journal Detail:
Title:  The Cochrane database of systematic reviews     Volume:  -     ISSN:  1469-493X     ISO Abbreviation:  Cochrane Database Syst Rev     Publication Date:  2011  
Date Detail:
Created Date:  2011-12-13     Completed Date:  2012-01-30     Revised Date:  2014-02-11    
Medline Journal Info:
Nlm Unique ID:  100909747     Medline TA:  Cochrane Database Syst Rev     Country:  England    
Other Details:
Languages:  eng     Pagination:  CD004375     Citation Subset:  IM    
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MeSH Terms
Urinary Bladder, Neurogenic / therapy*
Urinary Catheterization / instrumentation,  methods*
Update In:
Cochrane Database Syst Rev. 2013;11:CD004375   [PMID:  24249436 ]
Update Of:
Cochrane Database Syst Rev. 2004;(2):CD004375   [PMID:  15106248 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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