A New Remote Controlled Intraurethral Insert for the Treatment of Women with voiding Difficulties

Madjar, Shahar; Nativ, Lfer; Moskovitz, Boaz; Beyar, Mordechay; Hwang, Keun

Abstract

PURPOSE
Clean intermittent catheterization is considered the treatment of choice for incomplete bladder emptying, however, many patients find it discouraging and unsatisfactory, imposing lower quality of life and decreased sense of self-esteem. The aim of the present study was to evaluate the efficacy of a newly designed, remote-controlled, intraurethral insert for the treatment of voiding dysfunction in women.
MATERIALS AND METHODS
This article describes our experience with 53 patients previously treated by self intermittent catheterization, suprapubic catheter, diapers or indwelling catheter. A valve-pump assembly is encased in a shorts, temporary silicone catheter available in various lengths and diameters to adapt to the individual patient's urethra. A hand held, remote-control unit activates the device allowing complete and controllable bladder evacuation and continence between urinations.
RESULTS
The age of patients is 16-88 years old(mean 53.4years old). Mean follow-up is 7 months(range 1-26 months). Urinary flow ranged from 11.3+/-0.64m1/second. The device was replaced every 5-99 days(mean 38 days), mainly due to salt deposits in and around the insert leading to urine leakage. Fourteen patients experienced urinary tract infection, all of which subsided with oral antibiotics. All patients were satisfied with the treatment and preferred it to previous treatment modalities used.
CONCLUSIONS
We consider that this new, remote controlled intraurethral insert is another useful treatment for the management of women with voiding difficulties.