Abstract
Study design:
Interventional, multi-center, open-label, randomized and crossover study.
Objectives:
The study objectives were to describe the current catheterization habits of the French neurogenic bladder patients using intermittent catheterization (IC), and to evaluate the ease of use, reliability and patients’ comfort and patients’ acceptance of the new ‘no-touch’, presumably easy-to-use VaPro catheter.
Setting:
Patients were recruited from 11 centers in France.
Methods:
In total, 106 men and women (age 18–65 years) with neurogenic bladder using IC at least four times a day were randomized into two groups. All subjects were trained to use the approved ‘no-touch’ method. A questionnaire evaluating patients’ experiences was distributed before the start of the trial and after each 15-day period of catheter use, that is, VaPro vs conventional catheter.
Results:
The majority of patients in this French IC user panel had very strong catheterization habits: 2/3 of them had been using IC for ⩾2 years with high ease of use and comfort. Nevertheless, >50% of patients would recommend the VaPro catheter to other people who need IC. More than three out of four patients felt confident and more secure with the new catheter. Men and spinal cord injury (SCI) patients were significantly more positive about the VaPro catheter than women and patients without SCI, respectively.
Conclusion:
The VaPro catheter is an acceptable and reliable alternative to the existing hydrophilic-coated ‘no-touch’ catheter.
Sponsorship:
This study was sponsored by Hollister France Inc.
Similar content being viewed by others
Log in or create a free account to read this content
Gain free access to this article, as well as selected content from this journal and more on nature.com
or
References
Stöhrer M, Blok B, Castro-Diaz D, Chartier-Kastler E, Del Popolo G, Kramer G et al EAU guidelines on neurogenic lower urinary tract dysfunction. Eur Urol 2009; 56: 81–88.
Jamison J, Maguire S, McCann J . Catheter policies for management of long term voiding problems in adults with neurogenic bladder disorders. Cochrane Database Syst Rev 2011; 12: 1–11.
Hudson E, Murahata RI . The ‘no-touch’ method of intermittent urinary catheter insertion: can it reduce the risk of bacteria entering the bladder? Spinal Cord 2005; 43: 611–614.
Chartier-Kastler E, Denys P . Intermittent catheterization with hydrophilic catheters as a treatment of chronic neurogenic urinary retention. Neurourol Urodyn 2011; 30: 21–31.
Bjerklund Johansen T, Hultling C, Madersbacher H, Del Popolo G, Amarenco G, LoFric Primo Study Group. A novel product for intermittent catheterisation: its impact on compliance with daily life - international multicentre study. Eur Urol 2007; 52: 213–220.
Shaw C, Logan K, Webber I, Broome L, Samuel S . Effect of clean intermittent self-catheterization on quality of life: a qualitative study. J Adv Nurs 2008; 61: 641–650.
Acknowledgements
The authors are grateful to Ismar Healthcare for their assistance in writing the manuscript. This study was funded by Hollister France Inc.
Author information
Authors and Affiliations
Consortia
Corresponding author
Ethics declarations
Competing interests
Pierre Denys: consultant for Allergan, Syntaxin, Ipsen, Coloplast, Astra Tech, Hollister, Astellas. Gilles Karsenty: research funding from Allergan, Ipsen and Steba; consultant for Medtronic and Bouchara-Recordati; and speaker for Astellas, AMS, Rotapharm and Laborie. Gérard Amarenco: research funding from Astellas, Allergan, Coloplast and Pfizer; consultant for Astellas, Allergan, Coloplast, Laborie, Rottapharm and Astra Tech; and speaker for Coloplast, Astellas, Astra Tech. The remaining authors declare no conflict of interest.
Appendix
Appendix
For the VaPro study group: Pierre Denys, Raymond Poincaré Hospital, Garches; Pierre Costa, CHU Caremeau, Nîmes; Gérard Amarenco, AP-HP Tenon, Paris; Jean-Jacques Labat, CHU Hôtel Dieu, Nantes; Marianne de Sèze, Saint Augustin Clinic, Bordeaux; Alain Ruffion, CH Lyon-Sud, Saint-Genis-Laval; Xavier Gamé, CHU Rangueil, Toulouse; Gilles Karsenty, Sainte-Marguerite Hospital, Marseille; Jean-Marc Soler, CRF Bouffard-Vercelli, Cerbère; Philippe Grise, CHU, Rouen; Jean-Gabriel Prévinaire, Center Jean Calve, Berck-sur-Mer.
Rights and permissions
About this article
Cite this article
Denys, P., Prévinaire, J., Aegerter, P. et al. Intermittent self-catheterization habits and opinion on aseptic VaPro catheter in French neurogenic bladder population. Spinal Cord 50, 853–858 (2012). https://doi.org/10.1038/sc.2012.68
Received:
Revised:
Accepted:
Published:
Issue date:
DOI: https://doi.org/10.1038/sc.2012.68
