{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:26:33Z","timestamp":1787030793756,"version":"build-2736575974"},"reference-count":13,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the feasibility, safety, and cost\u2010effectiveness of manually manufactured rectal balloon catheters for urodynamic testing as a potential alternative to conventional pre\u2010fabricated devices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>After institutional ethics approval, 84 patients scheduled for urodynamic evaluation due to storage and\/or voiding lower urinary tract symptoms were prospectively randomized to undergo testing with two different models of handmade rectal balloon catheters. Devices were constructed using the finger portion of non\u2010sterile latex gloves fixed to a 12 Fr urethral catheter with either an elastic band or adhesive tape. Integrity was confirmed by pre\u2010test inflation and leak assessment. All patients underwent standard urodynamic studies (uroflowmetry, cystometry, pressure\u2013flow analysis) performed by an experienced urologist, and outcomes were compared with the historical performance of standard commercial catheters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>No balloon rupture, leakage, displacement, or material retention was observed in any of the 84 patients. Both models provided reliable intra\u2010abdominal pressure recordings with no interference in urodynamic tracings and no additional discomfort compared with conventional devices. The mean cost per handmade catheter was reduced by over 95% compared with international pre\u2010fabricated catheters and by approximately 94% compared with national products. Projected annual savings exceeded US$3.000 in centers performing 5 urodynamic studies per week. No adverse events or infectious complications were detected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Low\u2010cost handmade rectal balloon catheters demonstrated safe and effective performance in routine urodynamic practice, with significant cost savings. Our findings support the use of handmade catheters as a cost\u2010effective alternative, potentially scalable to public health systems worldwide, particularly in resource\u2010limited settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nau.70325","type":"journal-article","created":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T09:53:47Z","timestamp":1780307627000},"page":"1313-1318","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Rethinking Catheters to Reduce Costs in Urodynamic Evaluation: Do All Roads Lead to Rome?"],"prefix":"10.1002","volume":"45","author":[{"given":"Jo\u00e3o Antonio","family":"Pereira\u2010Correia","sequence":"first","affiliation":[{"name":"Department of Urology \u2013 Servidores do Estado Federal Hospital Rua Sacadura Cabral Rio de Janeiro RJ Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raquel Abreu","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Department of Urology \u2013 Servidores do Estado Federal Hospital Rua Sacadura Cabral Rio de Janeiro RJ Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Ferezini","sequence":"additional","affiliation":[{"name":"Department of Urology \u2013 Servidores do Estado Federal Hospital Rua Sacadura Cabral Rio de Janeiro RJ Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valter Jos\u00e9 Fernandes","family":"Muller","sequence":"additional","affiliation":[{"name":"Department of Urology \u2013 Servidores do Estado Federal Hospital Rua Sacadura Cabral Rio de Janeiro RJ Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,1]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23897"},{"key":"e_1_2_13_3_1","unstructured":"L.Cardozo E.Rovner A.Wagg A.Wein andP.Abrams editors.Incontinence.7th ed.:International Continence Society;2023.2205p."},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.16703"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22684"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23124"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.10066"},{"key":"e_1_2_13_8_1","volume-title":"Global Health Expenditure Database","year":"2024"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/0090-4295(80)90016-3"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-024-05154-3"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/2090598X.2019.1668176"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10916-009-9318-1"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2025.0270"},{"key":"e_1_2_13_14_1","volume-title":"Urodynamics Made Easy","author":"Chapple C. R.","year":"2018"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.70325","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/nau.70325","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.70325","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:23:59Z","timestamp":1787027039000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.70325"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,1]]},"references-count":13,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1002\/nau.70325"],"URL":"https:\/\/doi.org\/10.1002\/nau.70325","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,1]]},"assertion":[{"value":"2025-10-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}