{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,18]],"date-time":"2026-01-18T14:57:30Z","timestamp":1768748250272,"version":"3.49.0"},"reference-count":29,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,7,20]],"date-time":"2024-07-20T00:00:00Z","timestamp":1721433600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>It has been proposed that reusable catheters are more cost effective and environmentally sustainable than single\u2010use catheters intended for intermittent catheterization (IC). However, the aspect of individuals' well\u2010being and preference for catheter type is not considered. In this study, we investigated the impact on individuals' health\u2010related quality of life (HR\u2010QoL) when testing a reusable catheter.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>The study was an open\u2010labeled, single\u2010arm, multicenter investigation with a treatment period of 28 days. Forty subjects using single\u2010use hydrophilic catheters were accustomed to a reusable catheter for managing IC. HR\u2010QoL was evaluated by the Intermittent\u2010Self Catheterization Questionnaire (ISC\u2010Q). Additionally, satisfaction was evaluated by the Intermittent Catheterization Satisfaction Questionnaire (InCaSa\u2010Q). The difference in total score was analyzed using a mixed linear model. Furthermore, preference for IC (single\u2010use vs. reusable) was assessed and microbial evaluation of the catheters was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The total ISC\u2010Q score measuring HR\u2010QoL decreased significantly by 28% (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Two of the four subdomains (ease\u2010of\u2010use and discreetness) also decreased significantly (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). The total InCaSa\u2010score and all four subdomains evaluating satisfaction decreased significantly (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.005). The primary study results were supported by the fact that 90.9% of subjects preferred to use a single\u2010use catheter for IC. Furthermore, 50% of reusable catheters were contaminated with bacteria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Switching from single\u2010use to reusable IC resulted in a significant decrease in HR\u2010QoL and satisfaction. Moreover, the vast majority preferred the single\u2010use catheter due to handling and convenience. The users' rights to their preferred bladder management method should be acknowledged.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.25556","type":"journal-article","created":{"date-parts":[[2024,7,20]],"date-time":"2024-07-20T07:44:04Z","timestamp":1721461444000},"page":"2169-2177","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Switching from intermittent catheterization with single\u2010use catheter to a reusable catheter has a negative impact on quality of life"],"prefix":"10.1002","volume":"43","author":[{"given":"Julie","family":"Schnipper","sequence":"first","affiliation":[{"name":"Clinical Strategies Coloplast A\/S Humleb\u00e6k Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nessn","family":"Azawi","sequence":"additional","affiliation":[{"name":"Department of Urology Sj\u00e6llands Universitetshospital Roskilde 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