New micro-hole zone catheter reduces residual urine and mucosal microtrauma in a lower urinary tract model

Brit Schrøder, Fabio Tentor, Teodora Miclăuş, Kristian Stærk, Thomas Emil Andersen, Michele Spinelli, Claudia Rendeli, Giulio Del Popolo, Per Bagi, Lene Feldskov Nielsen*

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

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Abstract

Urinary tract infections (UTIs) are the main complication associated with clean intermittent catheterization (CIC) and are facilitated by post-void residual urine and trauma to the mucosa during voiding. The risk of UTI may be diminished by reducing the residual volumes and preventing microtrauma caused by mucosal suction through the eyelets of conventional eyelet catheters (CEC). A new micro-hole zone catheter (MHZC) was developed and tested in an ex vivo porcine lower urinary tract model and in vivo, in pigs, against a CEC. It was shown that, irrespective of the micro-hole diameter, the new catheter ensured increased flowrates and significantly lower residual volumes at the first flow-stop. Furthermore, with a micro-hole diameter of 0.4 mm, mucosal suction was virtually eliminated, regardless of the insertion depth or simulated intra-abdominal pressure mimicking sitting or standing humans. Pressure profile experiments and endoscopy studies indicated that the bladder gradually folds against the drainage tip of the new catheter, without blocking the flow, and, unlike with the CEC, sharp pressure variations and flow-stops did not occur during voiding. The MHZC outperformed the CEC in all tested scenarios and decreased residual volumes, thus potentially decreasing the risk of UTIs.

Original languageEnglish
Article number2268
JournalScientific Reports
Volume14
Number of pages11
ISSN2045-2322
DOIs
Publication statusPublished - 27. Jan 2024

Keywords

  • Animals
  • Catheters/adverse effects
  • Humans
  • Intermittent Urethral Catheterization/adverse effects
  • Swine
  • Urinary Bladder
  • Urinary Retention
  • Urinary Tract Infections/prevention & control

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