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Catheter policies for management of long term voiding problems in adults with neurogenic bladder disorders

  1. Jim Jamison1,*,
  2. Suzanne Maguire2,
  3. John McCann3

Editorial Group: Cochrane Incontinence Group

Published Online: 18 NOV 2013

Assessed as up-to-date: 3 JUL 2013

DOI: 10.1002/14651858.CD004375.pub4


How to Cite

Jamison J, Maguire S, McCann J. Catheter policies for management of long term voiding problems in adults with neurogenic bladder disorders. Cochrane Database of Systematic Reviews 2013, Issue 11. Art. No.: CD004375. DOI: 10.1002/14651858.CD004375.pub4.

Author Information

  1. 1

    Belfast, Northern Ireland, UK

  2. 2

    Musgrave Park Hospital, Belfast, Northern Ireland, UK

  3. 3

    Royal Victoria Hospital, Belfast, Northern Ireland, UK

*Jim Jamison, 2 Lisdoonan Close, Carryduff, Belfast, Northern Ireland, BT8 8RJ, UK. jqjamison@aol.com.

Publication History

  1. Publication Status: New search for studies and content updated (no change to conclusions)
  2. Published Online: 18 NOV 2013

SEARCH

 
Characteristics of excluded studies [ordered by study ID]

StudyReason for exclusion

Faure 1980Not an RCT.
515 patients with spinal cord injuries admitted to a specialist centre over a 3-year period were studied. Intermittent catheterisation was used in those assessed as having incomplete lesions (n = 296), and indwelling catheterisation in those with complete lesions (n = 219). "A random group" of 24 male patients with complete lesions had suprapubic catheterisation. No comparisons between those with suprapubic and urethral catheterisation were reported.

Grundy 1983RCT, but patients studied were in the acute stage following spinal cord injury.

Khan 2010RCT, but randomisation was performed on 101 patients with multiple sclerosis of whom only a subset (n = 74) had bladder symptoms.

Piergiovanni 1991RCT, but patients requiring catheter drainage did not have neurogenic bladder. French language.

Sethia 1987RCT, but patients requiring catheter drainage did not have neurogenic bladder.

Vandoni 1994RCT, but patients requiring catheter drainage did not have neurogenic bladder.

 
Characteristics of studies awaiting assessment [ordered by study ID]
Turi 2006

MethodsUse the term "randomised study" but also states that "forty consecutive patients were included in each group", so not entirely clear.

Participants80 participants (40 in each arm), aged 15 to 80 years, 73 male and 7 female with symptoms of bladder outlet obstruction. In Group A, 25 participants had neurogenic bladder and 15 participants had benign prostatic hyperplasia (BPH) "but were not operated due to high surgical risk". In Group B, 35 participants had neurogenic bladder and 5 had BPH "not operated due to high surgical risk". Recruited from November 2003 to April 2004, in Karachi, Pakistan.

InterventionsClean intermittent self-catheterisation (Group A) versus indwelling catheters (Group B).

OutcomesSymptomatic infections and complications.

NotesHave attempted to email and write to authors but no reply so far.