[Are there benefits for catheter valves for catheter-associated quality of life? : Results of an investigation in 427 catheter wearers with life-long indication].

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: Andreas Wiedemann, A Mourad, C Gedding, J Stein, A Manseck, R Kirschner-Hermanns, T Liebald, C Linné, A Schorn, A Wagner, V Moll, U Unger, A Eisenhardt, J Salem, A Bannowsky, S Wirz, E Brammen, H-J Heppner
• Journal: Urologie (Heidelberg, Germany) (Urologie) Vol. 61 Issue 9 Pg. 959-970 (Sep 2022) ISSN: 2731-7072 [Electronic] Germany
• Vernacular Title: Hat eine Ventilversorgung Vorteile bei der katheterassoziierten Lebensqualität? : Ergebnisse einer Untersuchung an 427 Katheterträgern in lebenslanger Indikation.
• PMID: 35318507 (Publication Type: Journal Article)
• Copyright: © 2022. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature.

Topics

• Catheters, Indwelling (adverse effects)
• Drainage (methods)
• Humans
• Quality of Life
• Urinary Bladder
• Urinary Catheterization (adverse effects)