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A retrospective study from a single center was performed. Quantitative and qualitative data was obtained on the use of the syringe adapter (IALUADAPTER®) in 61 patients with IC/BPS (n=48), rUTI (n=6) and mixed /other diagnoses (including OAB; n= 7) who were receiving intravesical therapy. The evaluation period was 6 months during 2018-2019. Reasons for trying the syringe adapter, reasons for continuing with it and occurrence of UTIs before and during the evaluation period were recorded. In addition, 3 year follow-up data were obtained to assess long-term usage of the syringe adapter.
Introduction Intravesical treatment is currently dependent on catheterization which can cause urethral discomfort and risk of urinary tract infections in selected patient groups such as interstitial cystitis / bladder pain syndrome (IC/BPS), overactive bladder syndrome (OAB) and recurrent urinary tract infections (rUTI). This study describes real-life clinical experience of a minimally invasive syringe adapter (Ialudapter®) for catheter-free instillation of intravesical treatment.
Methods A retrospective study from a single center was performed. Quantitative and qualitative data was obtained on the use of the syringe adapter (IALUADAPTER®) in 61 patients with IC/BPS (n=48), rUTI (n=6) and mixed /other diagnoses (including OAB; n= 7) who were receiving intravesical therapy. The evaluation period was 6 months during 2018-2019. Reasons for trying the syringe adapter, reasons for continuing with it and occurrence of UTIs before and during the evaluation period were recorded. In addition, 3 year follow-up data were obtained to assess long-term usage of the syringe adapter.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 61 patients evaluated | with IC/BPS (n=48), rUTI (n=6) and mixed /other diagnoses (including OAB; n= 7) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ialuadapter | Device | minimally invasive syringe device for bladder catherization |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants who reported success (in using syringe adapter) Yes/No | pt self reported general assessment of successful instillation using the syringe adapter | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| PRO; patient reported reasons for trying syringe adapter in stead of regular catheter (5 options) | patient reported subjective reasons for trying the syringe adapter: options: urethral pain, convenience, fear of catheter, urine tract infections or other | 6 months |
| Total number of UTI's during syringe adapter use amongst all patients |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Radboudumc | Nijmegen | Gelderland | 6525 HB | Netherlands |
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| ID | Term |
|---|---|
| D018856 | Cystitis, Interstitial |
| D014552 | Urinary Tract Infections |
| ID | Term |
|---|---|
| D003556 | Cystitis |
| D001745 | Urinary Bladder Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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Recorded UTI's reported in electronic patient database during the time they used syringe adapter |
| 6 months |
| Number of participants who use syringe adapter 3 years after initial assessment (yes/no) | long term adherence to syringe adapter (still using in in clinical practice) | 1 yr |
| PRO ; patient reported reasons to continue syringe adapter (5 options) | Subjective reasons given by patients for continuing with syringe adapter compared to regular catheter. Option were : hope for fewer urine tract infections, less pain, easier to use, self -sustainability, other) | 6 months |
| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D007239 | Infections |