RNCohortJournal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society2026

Intermittent Catheters With Integrated Features Designed to Reduce the Risk of Urinary Tract Infection: Findings From the Continence Care Registry, a Multinational, Observational, Longitudinal Study.

Daniel Gordon, George Skountrianos, Diane K Newman and 1 others

PMID 41540581

WHAT IT FOUND

In 32 adults using intermittent self-catheterization, catheters with integrated protective features were associated with significantly lower UTI risk, better quality of life, and higher satisfaction than standard catheters without these features.

Key findings

01Participants using catheters with integrated protective features had significantly lower adjusted odds of experiencing a UTI compared to those using standard catheters.

02Users of catheters with integrated protective features reported significantly higher quality of life scores on a validated self-catheterization questionnaire.

03Satisfaction ratings regarding ease of insertion, removal, and lubrication were significantly higher for the integrated feature catheters.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study was observational, not randomized, so participants chose their catheter type, introducing potential selection bias. The sample size was very small (32 participants total), with only 9 in the comparison group. Baseline characteristics differed significantly between groups, including BMI and bladder management methods (e.g., antibiotic use, supplements), which may confound the results. Outcomes were self-reported, although UTIs were specified as provider-diagnosed.

Declared interests

The study analyzed data from the ConCaRe registry. The text notes that Hollister Incorporated products were included in both groups. No specific funding or conflict of interest declaration is provided in the supplied text.

The easy way to misread this

Do not interpret the lower UTI rate in the integrated catheter group as proof of causality. The study was observational with a small sample size, and the groups differed in baseline characteristics like BMI and other bladder management methods, meaning the difference could be due to factors other than the catheter design.

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