Krassioukov Andrei, Welk Blayne, Vrijens Desiree, Islamoska Sabrina, Barken Kim Bundvig, Keppenne Veronique, Wyndaele Michel, Walter Matthias
International Collaboration on Repair Discoveries (ICORD), Faculty of Medicine, The University of British Columbia (UBC), Vancouver, BC, Canada.
GF Strong Rehabilitation Centre, Vancouver Coastal Health Authority, Vancouver, BC, Canada.
Front Urol. 2023 Mar 28;3:1158260. doi: 10.3389/fruro.2023.1158260. eCollection 2023.
The value of disposable, single-use catheters has come under scrutiny in recent years with a growing attention on environmental sustainability. Intermittent catheterization (IC) is a widely available and minimally invasive technique for management of lower urinary tract dysfunction. Effective IC for individuals with neurogenic lower urinary tract dysfunction can promote their independence and improve quality of life. Are there alternative options within IC that could minimize environmental impact without compromising the safety and effectiveness of single-use catheters? How does the future of IC look - environmentally friendly, biodegradable, disposable catheters may be complementary to certified reusable catheters? In the midst of this debate, it is important to emphasize that individuals have the right to choose the best evidence-based treatment available. Here we consider the current landscape for IC with a focus on chronic use in individuals with neurogenic lower urinary tract dysfunction.
近年来，随着对环境可持续性的关注度不断提高，一次性使用的导管的价值受到了审视。间歇性导尿（IC）是一种广泛应用且微创的下尿路功能障碍管理技术。对于神经源性下尿路功能障碍患者，有效的间歇性导尿可以促进他们的独立性并提高生活质量。在间歇性导尿中，是否存在其他选择，可以在不影响一次性导管安全性和有效性的前提下，将对环境的影响降至最低？间歇性导尿的未来会是怎样——环保、可生物降解的一次性导管是否可能与经过认证的可重复使用导管相辅相成？在这场辩论中，重要的是要强调个人有权选择现有的最佳循证治疗方法。在此，我们审视了间歇性导尿的现状，重点关注神经源性下尿路功能障碍患者的长期使用情况。
