{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T18:22:49Z","timestamp":1778869369638,"version":"3.51.4"},"reference-count":29,"publisher":"Mark Allen Group","issue":"17","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Nurs"],"published-print":{"date-parts":[[2024,9,19]]},"abstract":"<jats:sec><jats:title>Background:<\/jats:title><jats:p> Clean intermittent self-catheterisation (CISC) with conventional eyelet catheters (CECs) is associated with urine flow-stops, which require the catheter to be repositioned so flow can resume. Flow-stops often occur because bladder mucosa is sucked into the eyelets. <\/jats:p><\/jats:sec><jats:sec><jats:title>Aims:<\/jats:title><jats:p> This investigation aimed to compare the bladder-emptying performance of the micro-hole zone catheter (MHZC) with the CEC. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p> This was a multi-centre, randomised, open-label, controlled cross-over study with 82 women comparing the MHZC to the CEC. The endpoints relating to bladder-emptying performance included the residual volume at first flow-stop, the number of flow-stops and the proportion of successful treatment responses. The women's perception of the catheters was assessed as well as device discomfort. <\/jats:p><\/jats:sec><jats:sec><jats:title>Findings:<\/jats:title><jats:p> Catheterisations with MHZC significantly reduced the risk of flow-stops, with relative risk results showing a 2.74 times lower risk of flow-stops with a health professional-led catheterisation and a 2.52 times lower risk during self-catheterisation. There was no statistical difference in residual urine volume at first flow-stop between the two catheters. Catheterisations with the MHZC were significantly more likely to achieve zero flow-stops and a residual urine volume of &lt;10 ml at first flow-stop. The women had a significantly more positive perception of the MHZC than the CEC in areas including handling, confidence, sensation and satisfaction. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> The MHZC enabled effective bladder emptying without catheters needing to be repositioned, supporting the women by simplifying the procedure and making them feel confident that their bladders were empty. <\/jats:p><\/jats:sec>","DOI":"10.12968\/bjon.2024.0212","type":"journal-article","created":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T17:20:53Z","timestamp":1726852853000},"page":"834-843","source":"Crossref","is-referenced-by-count":4,"title":["New compact micro-hole zone catheter enables women to achieve effective bladder emptying without flow-stops"],"prefix":"10.12968","volume":"33","author":[{"given":"Nikesh","family":"Thiruchelvam","sequence":"first","affiliation":[{"name":"Consultant Urologist, Department of Urology, Addenbrooke's Hospital, 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