{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T01:36:03Z","timestamp":1785116163850,"version":"3.55.0"},"reference-count":28,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2018,8,14]],"date-time":"2018-08-14T00:00:00Z","timestamp":1534204800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec><jats:title>Methods<\/jats:title><jats:p>We estimated the prevalence of CIC use in the United States using a neurogenic population, consisting of persons with multiple sclerosis, spina bifida, and spinal cord injury. We measured catheter samples to obtain the amount of waste per catheter.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At least 300\u2009800 persons in the United States perform CIC for neurogenic bladder management. Assuming five catheterization events per day, the amount of waste generated by single\u2010use CIC is between 26\u2009500 to 235\u2009400 pounds or 22\u2009600 to 564\u2009000 liters per day, depending on catheter model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Single\u2010use CIC may generate up to 85 million pounds or 206 million liters of waste annually, equivalent to more than 26\u2009000 cars or 80 Olympic\u2010sized swimming pools. Laid end\u2010to\u2010end, there is enough catheter length circumscribe the world more than 5.5 times. The most common materials used in catheter construction have little to no degradation once in a landfill. Given the unproven clinical benefit of single\u2010use catheterization, the environmental impact and alternatives should be considered.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.23562","type":"journal-article","created":{"date-parts":[[2018,8,14]],"date-time":"2018-08-14T09:55:27Z","timestamp":1534240527000},"page":"2204-2208","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":48,"title":["The cost of a catheter: An environmental perspective on single use clean intermittent catheterization"],"prefix":"10.1002","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9906-1289","authenticated-orcid":false,"given":"Andrew J.","family":"Sun","sequence":"first","affiliation":[{"name":"Department of Urology Stanford University Stanford California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Craig V.","family":"Comiter","sequence":"additional","affiliation":[{"name":"Department of Urology Stanford University Stanford California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1852-0018","authenticated-orcid":false,"given":"Christopher S.","family":"Elliott","sequence":"additional","affiliation":[{"name":"Department of Urology Stanford University Stanford California"},{"name":"Santa Clara Valley Medical Center Division of Urology San Jose California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,8,14]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"US EPA O. 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