{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T21:44:00Z","timestamp":1787521440259,"version":"build-2736575974"},"reference-count":46,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,12,17]],"date-time":"2019-12-17T00:00:00Z","timestamp":1576540800000},"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":[[2020,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To systematically compare the impact of catheter\u2010based bladder drainage methods on the rate of urinary tract infections (UTIs) amongst patients with neurogenic bladder.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A search of Cochrane Library, Embase, Medline, and Grey literature to February 2019 was performed using methods prepublished on PROSPERO. Reporting followed the Preferred Reporting Items for Systematic Review and Meta\u2010analysis guidelines. Eligible studies were published in English and compared UTI incidence between neurogenic bladder patients utilizing bladder drainage methods of the indwelling urethral catheter (IUC), suprapubic catheter (SPC) or intermittent self\u2010catheterization (ISC). The odds ratio of UTI was the sole outcome of interest.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eight nonrandomized observational cohort studies were identified, totaling 2321 patients who utilized either IUC, SPC, or ISC. Studies enrolled patients with neurogenic bladder due to spinal cord injury (seven studies) or from any cause (one study). UTI rates were compared between patients utilizing IUC vs SPC (four studies), IUC vs ISC (six studies), and SPC vs ISC (four studies). Compared with IUC, five of six studies suggested ISC use was associated with lower rates of UTI. Studies comparing IUC vs SPC and SPC vs ISC gave mixed results. Meta\u2010analysis was not appropriate due to study methodology heterogeneity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Low\u2010level evidence suggests amongst patients with neurogenic bladder requiring catheter\u2010based drainage, the use of ISC is associated with lower rates of UTI than IUC. Comparisons of IUC vs SPC and SPC vs ISC gave mixed results. Future randomized trials are required to confirm these findings.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.24253","type":"journal-article","created":{"date-parts":[[2019,12,17]],"date-time":"2019-12-17T09:15:56Z","timestamp":1576574156000},"page":"854-862","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":82,"title":["The impact of catheter\u2010based bladder drainage method on urinary tract infection risk in spinal cord injury and neurogenic bladder: A systematic review"],"prefix":"10.1002","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7833-2537","authenticated-orcid":false,"given":"Ned","family":"Kinnear","sequence":"first","affiliation":[{"name":"Department of Urology Austin Health Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dylan","family":"Barnett","sequence":"additional","affiliation":[{"name":"Department of Urology Royal Adelaide Hospital Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5038-5859","authenticated-orcid":false,"given":"Michael","family":"O'Callaghan","sequence":"additional","affiliation":[{"name":"South Australian Prostate Cancer Clinical Outcomes Collaborative Flinders Medical Centre Adelaide Australia"},{"name":"School of Medicine University of Adelaide Adelaide Australia"},{"name":"Flinders Centre for Innovation in Cancer Adelaide Australia"},{"name":"Department of Urology Flinders Medical Centre  Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kym","family":"Horsell","sequence":"additional","affiliation":[{"name":"Department of Urology Flinders Medical Centre  Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johan","family":"Gani","sequence":"additional","affiliation":[{"name":"Department of Urology Austin Health Melbourne Australia"},{"name":"Department of Surgery University of Melbourne  Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7372-0100","authenticated-orcid":false,"given":"Derek","family":"Hennessey","sequence":"additional","affiliation":[{"name":"Department of Urology Austin Health Melbourne Australia"},{"name":"Department of Urology Mercy University Hospital Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,12,17]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22516"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2017.03.006"},{"key":"e_1_2_8_4_1","unstructured":"BlokBF Castro\u2010DiazD Del PopoloG et al.EAU Guidelines on Neuro\u2010Urology. 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