Are there benefits for catheter valves for catheter-associated quality of life? Results of an investigation in 427 catheter wearers with life-long indication
Wiedemann A, Mourad A, Gedding C, Stein J, Manseck A, Kirschner-Hermanns R, Liebald T, Linne C, Schorn A, Wagner A, Moll , Unger U, Eisenhardt A, Salem J, Bannowsky A, Wirz S, Brammen E, Heppner HJ (2022)
Publication Type: Journal article
Publication year: 2022
Journal
DOI: 10.1007/s00120-022-01807-6
Abstract
Background In urology, a subset of patients with lifelong urine drainage are fitted with a catheter valve. Data on catheter-related quality of life (crqol) in this subset of patients are missing. Aim Clarification of the whether there are advantages for valve-aided catheters in comparison with continuous urine drainage in catheter wearers with a lifelong indication. Methods In all, 357 patients with a catheter with lifelong indication of continuous urine drainage from a previous study were compared with 70 valve-aided patients. The crqol was evaluated by a validated assessment with 25 items and five domains. Results There were statistically more patients with a suprapubic catheter than with a transurethral indwelling catheter (73.4 vs. 54.4%, p = 0.005), significantly more patients with bladder voiding dysfunction (73.5 vs. 52.6%, p = 0.003) and significantly more patients with small catheter sizes (p = 0.001). Crqol was altogether slightly impaired with a median score of 4.2 (no impairment indicated by 5 points) in valve-aided patients, but crqol was more impaired in valve-aided patients compared to patients with continuous drainage (4.4 points, n. s.). Some items demonstrated more problems dealing with urinary urge in valve-aided patients, but catheter-related pain was more often worse in patients with continuous drainage. Conclusion There is no clear evidence for an advantage of a catheter valve over a continuous urine drainage system. Thus, the decision regarding a catheter-valve system must be made individually according to the indication and the preferences of the patient.
Authors with CRIS profile
Involved external institutions
imland Klinik Rendsburg
Germany (DE)
Klinikum Ingolstadt
Germany (DE)
GFO Kliniken Bonn
Germany (DE)
Evangelisches Krankenhaus Witten
Germany (DE)
Chrestos Concept GmbH & Co. KG
Germany (DE)
Klinik Links vom Rhein
Germany (DE)
Universitätsklinikum Bonn
Germany (DE)
Klinikum Region Hannover
Germany (DE)
Germany (DE)
Klinikum Ingolstadt
Germany (DE)
GFO Kliniken Bonn
Germany (DE)
Evangelisches Krankenhaus Witten
Germany (DE)
Chrestos Concept GmbH & Co. KG
Germany (DE)
Klinik Links vom Rhein
Germany (DE)
Universitätsklinikum Bonn
Germany (DE)
Klinikum Region Hannover
Germany (DE)
How to cite
APA:
Wiedemann, A., Mourad, A., Gedding, C., Stein, J., Manseck, A., Kirschner-Hermanns, R.,... Heppner, H.J. (2022). Are there benefits for catheter valves for catheter-associated quality of life? Results of an investigation in 427 catheter wearers with life-long indication. Urologe. https://doi.org/10.1007/s00120-022-01807-6
MLA:
Wiedemann, Andreas, et al. "Are there benefits for catheter valves for catheter-associated quality of life? Results of an investigation in 427 catheter wearers with life-long indication." Urologe (2022).
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