Robles-Torres JI, Madero-Morales PA, Gutiérrez-González A

Language: English
References: 6
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Intermittent catheterization is the treatment of choice for bladder drainage for incomplete emptying in patients with neurogenic bladder, including those with spinal injury, multiple sclerosis, and myelomeningocele. Clean intermittent catheterization (CIC) is considered the gold standard for bladder emptying. Since Lapides et al. established in their study that CIC was a safe and effective method, it has been widely used and is preferred to an indwelling catheter. In the US, an estimated 300,800 patients perform CIC, and approximately 1,500,000 catheters are used per day, for single-use catheterization. This practice further exacerbates a negative environmental impact, considering that biodegradation of the material most catheters are made of is almost nil, with the clear majority unlikely to degrade in fewer than one hundred years. Reused catheters have gained popularity in recent years, especially in developing countries, such as Mexico. Despite the frequency of that practice in our country, evidence on the safety of reused catheters is presently controversial.

REFERENCES

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6. Madero-Morales PA, Robles-Torres JI, Vizcarra-Mata G, Guillén-Lozoya AH, Mendoza-Olazarán S, Garza-González E, et al. Randomized Clinical Trial Using Sterile Single Use and Reused Polyvinylchloride Catheters for Intermittent Catheterization with a Clean Technique in Spina Bifida Cases: Short-Term Urinary Tract Infection Outcomes. J Urol. 2019;202(1):153–8. doi: 10.1097/ JU.0000000000000244