Intermittent catheterisation: individuals’ rights, accessibility, and environmental concerns

Spinal Cord Series and Cases, 2024 · DOI: https://doi.org/10.1038/s41394-024-00651-4 · Published: May 14, 2024

Simple Explanation

Intermittent catheterisation (IC) is a crucial method for managing bladder function in individuals with neurogenic lower urinary tract dysfunction (NLUTD). However, many individuals are not receiving the optimal standard of care. Individuals with NLUTD face numerous daily challenges, including logistical difficulties, emotional distress, psychological issues, and social isolation, which significantly limit their lifestyle choices. The environmental impact of disposable catheters is a concern, but it should not overshadow the health and well-being of individuals who rely on IC for bladder management.

Study Duration

Not specified

Participants

Representatives from disability organizations and multidisciplinary experts

Evidence Level

Not specified

Key Findings

1
Individuals with NLUTD have the right to access the best evidence-based standard of IC care available, including adequate and comfortable facilities.
2
Barriers to accessing optimal IC include funding issues, geographical differences in catheter availability, and a lack of education and awareness among healthcare professionals.
3
The long-term health effects of reusing catheters are unknown, and regular cleaning can cause structural damage, increasing the risk of urinary tract infections and urethral strictures.

Research Summary

This article emphasizes the importance of providing the best standard of intermittent catheterisation (IC) care to individuals with neurogenic lower urinary tract dysfunction (NLUTD), highlighting the rights of individuals to access optimal care and adequate facilities. The discussion addresses barriers such as funding limitations, geographical disparities, and lack of awareness, while also considering the environmental impact of single-use catheters without compromising patient health. The authors advocate for a united effort from the medical community and IC users to ensure individual voices are heard and to promote the best options for IC care, emphasizing that protecting human rights is crucial for healthy lives.

Practical Implications

Policy Changes

Advocate for policies that ensure universal access to single-use catheters, especially in developed countries, recognizing it as the minimum standard of care.

Healthcare Education

Promote education among healthcare professionals regarding the latest IC technologies and the importance of single-use catheters for improving patient outcomes.

Sustainable Solutions

Encourage industry to develop and implement systems for recycling used catheters and research biodegradable materials to reduce the environmental impact.

Study Limitations

1
The perspective is based on expert opinions and discussions rather than empirical data.
2
The study lacks a detailed analysis of specific geographical and economic factors influencing access to IC.
3
The article does not provide quantitative data on the long-term health effects of catheter reuse.

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