Abstract
Objective: to assess the satisfaction of the person with urinary retention in the face of the use of different types of urinary catheters, as well as to compare and analyze different attributes of these after their use in clean intermittent catheterization (CIC). Method: descriptive exploratory cross-sectional study, developed in a reference clinic in the state of São Paulo, from February to March 2020. The sample consisted of 32 adults registered in the service, and who adopted the CIC as a form of bladder emptying . Data collection was performed through individual interviews using a semi-structured questionnaire. Data were analyzed using descriptive, inferential statistics and categorization of responses to open questions. Results: of the 32 users, 84% were male, with a mean age of 54.16 years, 81% performed the procedure between 1 and 5 years, with a frequency of 4 to 6 times a day (66%). Most respondents (73%) preferred the hydrophilic-coated polyurethane catheter, converging with the percentage of users satisfied with the same catheter. Conclusion: the most satisfying technology is the hydrophiliccoated polyurethane catheter due to several attributes such as lubrication, firmness, packaging, urethral slip, handling, rapid urine clearance and comfort
Highlights
Some diseases in the nervous system can affect and hinder or prevent regular emptying of the bladder, favoring partial, total, temporary or permanent urinary retention, as in the cases of patients who experience neurological or idiopathic problems of the lower urinary tract[1].The simplest and safest way to treat incomplete bladder emptying is clean intermittent catheterization (CIC), considered the gold standard, with a frequency of 4 to 6 times a day
The procedure was described in 1970 by Jack Lapides et al, who demonstrated that the prevention of urinary tract infection in these patients occurs through the prevention of bladder distension and elimination of waste, and not through the asepsis of the technique
Given the above scenario, considering the fact that the CIC is the gold standard for emptying for urinary retention, because there are more advanced technologies that favor adherence to the procedure and, impact on the quality of life and autonomy of patients as well as on the reduction of risks of complications associated with the procedure, it is considered relevant to analyze the satisfaction of users in the use of different vesical catheters
Summary
Some diseases in the nervous system can affect and hinder or prevent regular emptying of the bladder, favoring partial, total, temporary or permanent urinary retention, as in the cases of patients who experience neurological or idiopathic problems of the lower urinary tract[1].The simplest and safest way to treat incomplete bladder emptying is clean intermittent catheterization (CIC), considered the gold standard, with a frequency of 4 to 6 times a day. The procedure is performed between 16 to 56% of the population with spinal cord injury, aiming to improve the functionality of the bladder and protect the upper part of the urinary tract, in addition to the positive impact on quality of life, but paradoxically the most prominent consequence is still relapse of urinary tract infections[2,3,4]. It is a simple technique in which the user or his/her caregiver introduces the catheter into the bladder, through the urethra or catheterized conduit, without the use of antiseptics or sterile gloves. The name of clean and non-sterile technique[5,6]
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