{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T20:51:54Z","timestamp":1757451114639,"version":"3.37.3"},"reference-count":19,"publisher":"Wiley","issue":"13-14","license":[{"start":{"date-parts":[[2019,3,28]],"date-time":"2019-03-28T00:00:00Z","timestamp":1553731200000},"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":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To assess the clinical effect of the multifunctional suprapubic catheter (<jats:styled-content style=\"fixed-case\">MSC<\/jats:styled-content>) on occurrence of cystospasm, catheter occlusion, the catheter\u2010related urinary tract infection and remission of overactivity bladder, by comparing with the conventional suprapubic catheter (<jats:styled-content style=\"fixed-case\">CSC<\/jats:styled-content>) in patients with permanent suprapubic cystostomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>The conventional suprapubic catheter usually presents with high incidence of catheter\u2010associated complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A prospective randomised clinical trial in a single centre.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between January 2014 and January 2015, a total of 91 consecutive patients with permanent suprapubic cystostomy were prospectively randomised into two groups: the <jats:styled-content style=\"fixed-case\">MSC<\/jats:styled-content> group (<jats:italic>n<\/jats:italic>\u00a0=\u00a043) and <jats:styled-content style=\"fixed-case\">CSC<\/jats:styled-content> group (<jats:italic>n<\/jats:italic>\u00a0=\u00a048).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Our results showed that the total times of cystospasm in the <jats:styled-content style=\"fixed-case\">MSC<\/jats:styled-content> group were significantly less than that in the <jats:styled-content style=\"fixed-case\">CSC<\/jats:styled-content> group during the follow\u2010up time (<jats:italic>p\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>.001). In addition, the mean spasmodic duration per time in the <jats:styled-content style=\"fixed-case\">MSC<\/jats:styled-content> group was significantly shorter than that in the <jats:styled-content style=\"fixed-case\">CSC<\/jats:styled-content> group (<jats:italic>p\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>.001). Besides, catheter occlusions were observed in 23 (25.27%) patients, including 5 (11.63%) in the <jats:styled-content style=\"fixed-case\">MSC<\/jats:styled-content> group and 18 (37.50%) in the <jats:styled-content style=\"fixed-case\">CSC<\/jats:styled-content> group (<jats:italic>p\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>.005). The lower rate of positive urine culture was also found in the <jats:styled-content style=\"fixed-case\">MSC<\/jats:styled-content> group but with no significant difference (<jats:italic>p\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>.540). Furthermore, the urodynamic measurement data demonstrated that the patients in the <jats:styled-content style=\"fixed-case\">MSC<\/jats:styled-content> group had a greater remission rate of overactivity bladder after catheter change (<jats:italic>p\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The present data showed that the multifunctional suprapubic catheter could significantly reduce the incidence of catheter occlusion, ameliorate the symptom of cystospasm and relieve the overactivity bladder, but have no influence on the catheter\u2010related urinary tract infection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>The application of our self\u2010devised multifunctional suprapubic catheter may result in better management of the patients with permanent suprapubic cystostomy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.14208","type":"journal-article","created":{"date-parts":[[2017,11,30]],"date-time":"2017-11-30T10:56:43Z","timestamp":1512039403000},"page":"2499-2505","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Clinical evaluation of the multifunctional suprapubic catheter in patients requiring permanent suprapubic cystostomy: A prospective randomised trial in a single centre"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6468-6633","authenticated-orcid":false,"given":"Hai\u2010Jing","family":"Dong","sequence":"first","affiliation":[{"name":"Department of Urology Qingdao Municipal Hospital Qingdao University Qingdao City, Shandong Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Urology Qingdao Municipal Hospital Qingdao University Qingdao City, Shandong Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nian\u2010Zhao","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Urology Qilu Hospital Shandong University School of Medicine Jinan City, Shandong Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wen\u2010Hua","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Urology Qilu Hospital Shandong University School of Medicine Jinan City, Shandong Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuai","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Urology Qingdao Municipal Hospital Qingdao University Qingdao City, Shandong Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hui","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Operation Qingdao Municipal Hospital Qingdao University Qingdao City, Shandong Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8554-5410","authenticated-orcid":false,"given":"Chang\u2010Cun","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Urology Qingdao Municipal Hospital Qingdao University Qingdao City, Shandong Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Si\u2010Chuan","family":"Hou","sequence":"additional","affiliation":[{"name":"Department of Urology Qingdao Municipal Hospital Qingdao University Qingdao City, Shandong Province 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