What is the best choice for chronic urinary retention: indwelling catheter or clean intermittent catheterization?

Objective: The aim of this study was to analyze the advantages and disadvantages of clean intermittent catheterization, comparing to indwelling urinary catheter, in the treatment of chronic urinary retention. Methods: This literature review was carried out in order to highlight the best evidences fo...

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Main Authors: João Paulo Zambon, Caio César Cintra, Carlos Alberto Bezerra, Maria Cláudia Bicudo, Eric Roger Wroclawski
Format: Article
Language:English
Published: Instituto Israelita de Ensino e Pesquisa Albert Einstein 2009-12-01
Series:Einstein (São Paulo)
Subjects:
Online Access:http://apps.einstein.br/revista/arquivos/PDF/1143-Einsteinv7n4520-4.pdf
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author João Paulo Zambon
Caio César Cintra
Carlos Alberto Bezerra
Maria Cláudia Bicudo
Eric Roger Wroclawski
author_facet João Paulo Zambon
Caio César Cintra
Carlos Alberto Bezerra
Maria Cláudia Bicudo
Eric Roger Wroclawski
author_sort João Paulo Zambon
collection DOAJ
description Objective: The aim of this study was to analyze the advantages and disadvantages of clean intermittent catheterization, comparing to indwelling urinary catheter, in the treatment of chronic urinary retention. Methods: This literature review was carried out in order to highlight the best evidences for the choice between treatments. The extensive literature review was made through PubMed and Cochrane National Library. We selected the main articles published between 1950 and 2007, using urinary retention, indwelling urinary catheter, and clean intermittent catheterization as keywords. Results: Twenty five papers were selected, including three meta-analyses evaluating the long-term complications of clean intermittent catheterization, prophylactic intervention, and catheter types. Most articles discussed complications in patients with neurologic dysfunctions. Conclusion: Clean intermittent catheterization is better than indwelling catheter, as it is related to lower complication rates, both short and long-term. Indwelling catheterization was associated with decreased vesical compliance and bladder calculi, among others.
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spelling doaj.art-89c1eae8adc94e0b8901518d146133482022-12-21T19:43:22ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)1679-45082009-12-0174520524What is the best choice for chronic urinary retention: indwelling catheter or clean intermittent catheterization?João Paulo ZambonCaio César CintraCarlos Alberto BezerraMaria Cláudia BicudoEric Roger WroclawskiObjective: The aim of this study was to analyze the advantages and disadvantages of clean intermittent catheterization, comparing to indwelling urinary catheter, in the treatment of chronic urinary retention. Methods: This literature review was carried out in order to highlight the best evidences for the choice between treatments. The extensive literature review was made through PubMed and Cochrane National Library. We selected the main articles published between 1950 and 2007, using urinary retention, indwelling urinary catheter, and clean intermittent catheterization as keywords. Results: Twenty five papers were selected, including three meta-analyses evaluating the long-term complications of clean intermittent catheterization, prophylactic intervention, and catheter types. Most articles discussed complications in patients with neurologic dysfunctions. Conclusion: Clean intermittent catheterization is better than indwelling catheter, as it is related to lower complication rates, both short and long-term. Indwelling catheterization was associated with decreased vesical compliance and bladder calculi, among others.http://apps.einstein.br/revista/arquivos/PDF/1143-Einsteinv7n4520-4.pdfUrinary retentionCathetersindwellingUrinary catheterization
spellingShingle João Paulo Zambon
Caio César Cintra
Carlos Alberto Bezerra
Maria Cláudia Bicudo
Eric Roger Wroclawski
What is the best choice for chronic urinary retention: indwelling catheter or clean intermittent catheterization?
Einstein (São Paulo)
Urinary retention
Catheters
indwelling
Urinary catheterization
title What is the best choice for chronic urinary retention: indwelling catheter or clean intermittent catheterization?
title_full What is the best choice for chronic urinary retention: indwelling catheter or clean intermittent catheterization?
title_fullStr What is the best choice for chronic urinary retention: indwelling catheter or clean intermittent catheterization?
title_full_unstemmed What is the best choice for chronic urinary retention: indwelling catheter or clean intermittent catheterization?
title_short What is the best choice for chronic urinary retention: indwelling catheter or clean intermittent catheterization?
title_sort what is the best choice for chronic urinary retention indwelling catheter or clean intermittent catheterization
topic Urinary retention
Catheters
indwelling
Urinary catheterization
url http://apps.einstein.br/revista/arquivos/PDF/1143-Einsteinv7n4520-4.pdf
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