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In diesem Publikations-Highlight können Sie nachlesen, wie sich Verstopfung auf urogenitale Symptome bei Frauen auswirkt.

Single-use hydrophilic catheters were developed in the early eighties to address long-term complications of intermittent catheterisation seen when reusing plastic catheters with add-on lubrication. As reported by Wyndaele and Maes and Perrouin-Verbe et al.

Urine often has a high concentration of particles and low content of water. This is referred to as high osmolality. Urine osmolality has a direct effect on catheter lubrication and plays an important role for people who use hydrophilic catheters. Catheters with a surface osmolality in balance with urine is key to reducing withdrawal friction.

Extensive studies support scientific literature claiming that use of hydrophilic catheters reduce urethral trauma and urinary tract infections. This in turn can minimize the need for antibiotics. Because of these benefits, we now know that hydrophilic catheters are one of the most cost-effective ways to prevent long term urological complications in general and UTI in particular.

A lubricated catheter is recommended to reduce damage to the urethra and lower the risk of hematuria which is a common complication. A cross-over study comparing different hydrophilic catheters showed an even lower frequency of hematuria in patients who chose LoFric.

Patient adherence plays a key role in a successful and cost-effective catheterization treatment. A patient who feels part of the decision-making, in control of his options and how they work with his lifestyle is more inclined to stick with his therapy and subsequently experience a good clinical outcome.

Introduction of a no-touch catheter/technique for intermittent catheterization seems to be well accepted both by caregivers and patients and it is not necessarily associated with higher costs. On the contrary, it could potentially reduce costs, saving time and errors in the healthcare system and reduce infection complications in general. The clinical evidence level is low for using no-touch technique/catheter to reduce UTIs but current available studies suggest benefits of it.

Zusammenfassung der ersten Daten zu Navina Smart

With more than 30 years on the market, LoFric has been used and documented in several ways. In addition to efficiently emptying the bladder, LoFric’s versatile use includes treatment and prevention of recurrent strictures, administration of chemotherapy by bladder instillation, and resolution of rare complications.

Catheter associated urinary tract infections (CAUTI) are common in the hospital setting with consequential morbidity and mortality. The risk of bacterial adhesion and invasion of the urinary tract increases with use of an indwelling catheterization and may be reduced by adopting intermittent catheterization using hydrophilic single-use catheters.

According to WHO the problem of antimicrobial resistance is so serious that it threatens our modern healthcare system.1 By 2050 it may cause 10 million deaths2 or more if we lose our ability to use effective antibiotics.

Available clinical evidence supports the strategy to always consider intermittent catheterization as the first therapeutic choice, before considering the use of an indwelling catheter. Intermittent catheterization is the first therapeutic choice and is a safer bladder management method than both urethral and suprapubic indwelling catheters. Intermittent catheterization is central to reduce morbidity related to renal failure and neurogenic bladder dysfunction.

A surprisingly high number of patients reuses catheters intended for single-use every day putting them at risk for unnecessary complications. Single-use hydrophilic catheters for intermittent catheterization lower the risk for short- and long-term complications and are a convenient and preferred choice for many patients.

A urethral stricture is an abnormal narrowing of the urethra and is often caused by trauma or inflammation.2 As catheterization is one cause of strictures, non-traumatic catheterization technique and catheter material are essential parts in preventing the occurrence of these complications.3 Common treatment methods for urethral strictures are urethrotomy and intermittent catheterization/dilatation

Darmfunktionsstörungen sind von Missverständnissen und Tabus umgeben, die die Behandlung beeinträchtigen und zu einer Selbstmedikation führen können, die nicht immer unschädlich für die Patientenversorgung ist.

Fecal incontinence (FI) means involuntary loss of rectal content such as solid and liquid stool, mucus or flatus. FI is not a diagnosis but a symptom. It is considered a stigmatizing condition, and fear of having an accident in public restricts the social and working life for those who experience it. Although there are many treatment options, their long-term efficacy is poorly investigated.

Bowel disorders are common in conditions affecting the nervous system, such as spinal cord injury, multiple sclerosis, spina bifida and severe Parkinson’s disease, and have great impact on self-esteem, personal relationships and social life.

Bowel problems in children are common, up to 29% of children can be affected by functional constipation and functional faecal incontinence, where the symptom origin is not known.

Die transanale Irrigation (TAI) ist eine gut dokumentierte und sichere Darmmanagementtherapie. Heute ist die Compliance das Hauptproblem bei der TAI-Therapie und kann durch ein besseres Wissen darüber, welcher Patient am besten von der TAI profitiert, verbessert werden. Patientenschulungen und eine engmaschige Nachsorge mit digitaler Unterstützung während der Eingewöhnung können ebenfalls die Compliance erhöhen.