X Gamé1, V Phé2, E Castel-Lacanal3, V Forin4, M de Sèze5, O Lam6, E Chartier-Kastler7, V Keppenne8, J Corcos9, P Denys10, R Caremel11, C-M Loche12, M-C Scheiber-Nogueira13, G Karsenty14, A Even15. 1. Département d'Urologie, Transplantation Rénale et Andrologie, CHU Rangueil, Université Paul Sabatier, Toulouse, France. Electronic address: gamexavier@gmail.com. 2. Sorbonne Université, Service d'Urologie, AP-HP, hôpital Pitié-Salpetrière, Paris, France. 3. CHU Toulouse, service de Médecine Physique et de réadaptation et ToNIC, Toulouse NeuroImaging Center, Université de Toulouse, Inserm, UPS, Toulouse, France. 4. Médecine Physique et de Réadaptation pédiatrique, Hôpital Armand Trousseau AP-HP, Sorbonne Université, Paris, France. 5. Cabinet de neuroUrologie et Pelviperinéologie, Clinique Saint Augustin, Bordeaux, France. 6. Department of Urology, Jewish General Hospital, McGill University, Montreal, Quebec, Canada. 7. Sorbonne Université, Service d'Urologie, AP-HP, hôpital Pitié-Salpetrière, Paris, France. 8. Service d'urologie, CHU Liège, Liège, Belgium. 9. Department of Urology, Jewish General Hospital, McGill University, Montreal, Quebec, Canada. 10. Université de Versailles Saint Quentin. Service de Neuro Urologie, AP-HP, Hopital Raymond Poincaré, Garches, France. 11. Clinique du Cèdre, Bois-Guillaume, France. 12. Service de Rééducation Neurolocomotrice, AP-HP, HU Henri Mondor, Créteil, France. 13. Cabinet de Neurologie et Neuro-Urologie, Lyon, France. 14. Aix-Marseille Université, Urologie et Transplantation Rénale, Hôpital La Conception, APHM, Marseille, France. 15. Service de Neuro Urologie, AP-HP, Hôpital Raymond Poincaré, Garches, France.
Abstract
INTRODUCTION: Our objective was to provide guidelines covering all aspects of intermittent catheterisation (intermittent self-catheterisation and third-party intermittent catheterisation). MATERIALS AND METHODS: A systematic review of the literature based on Pubmed, Embase, Google scholar was initiated in December 2014 and updated in April 2019. Given the lack of robust data and the numerous unresolved controversial issues, guidelines were established based on the formal consensus of experts from steering, scoring and review panels. RESULTS: This allowed the formulation of 78 guidelines, extending from guidelines on indications for intermittent catheterisation, modalities for training and implementation, choice of equipment, management of bacteriuria and urinary tract infections, to the implementation of intermittent catheterisation in paediatric, geriatric populations, benign prostatic hyperplasia patients and continent urinary diversion patients with a cutaneous reservoir as well as other complications. These guidelines are pertinent to both intermittent self-catheterisation and third-party intermittent catheterisation. CONCLUSION: These are the first comprehensive guidelines specifically aimed at intermittent catheterisation and extend to all aspects of intermittent catheterisation. They assist in the clinical decision-making process, specifically in relation to indications and modalities of intermittent catheterisation options. These guidelines are intended for urologists, gynaecologists, geriatricians, paediatricians, neurologists, physical and rehabilitation physicians, general practitioners and other health professionals including nurses, carers….
INTRODUCTION: Our objective was to provide guidelines covering all aspects of intermittent catheterisation (intermittent self-catheterisation and third-party intermittent catheterisation). MATERIALS AND METHODS: A systematic review of the literature based on Pubmed, Embase, Google scholar was initiated in December 2014 and updated in April 2019. Given the lack of robust data and the numerous unresolved controversial issues, guidelines were established based on the formal consensus of experts from steering, scoring and review panels. RESULTS: This allowed the formulation of 78 guidelines, extending from guidelines on indications for intermittent catheterisation, modalities for training and implementation, choice of equipment, management of bacteriuria and urinary tract infections, to the implementation of intermittent catheterisation in paediatric, geriatric populations, benign prostatic hyperplasiapatients and continent urinary diversion patients with a cutaneous reservoir as well as other complications. These guidelines are pertinent to both intermittent self-catheterisation and third-party intermittent catheterisation. CONCLUSION: These are the first comprehensive guidelines specifically aimed at intermittent catheterisation and extend to all aspects of intermittent catheterisation. They assist in the clinical decision-making process, specifically in relation to indications and modalities of intermittent catheterisation options. These guidelines are intended for urologists, gynaecologists, geriatricians, paediatricians, neurologists, physical and rehabilitation physicians, general practitioners and other health professionals including nurses, carers….