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Real-life Clinical Experience With Ialuadapter Study

Completed
Conditions
Recurrent Urinary Tract Infection
Interstitial Cystitis, Chronic
Overactive Bladder Syndrome
Interventions
Device: Ialuadapter
Registration Number
NCT06540248
Lead Sponsor
Radboud University Medical Center
Brief Summary

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.

Detailed Description

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.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
61
Inclusion Criteria
  • Patients with IC/BPS, recurrent UTIs and/or OAB
  • Receiving intravesical instillations with a conventional single-use catheter before the syringe adapter evaluation period which took place between September 2018 and the end of February 2019 (6m).
Exclusion Criteria
  • Patients with a high post-void residue of >100ml or with an indwelling catheter were excluded from the analyses.
  • Patients who cannot sign informed consent.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
61 patients evaluatedIaluadapterwith IC/BPS (n=48), rUTI (n=6) and mixed /other diagnoses (including OAB; n= 7)
Primary Outcome Measures
NameTimeMethod
Number of participants who reported success (in using syringe adapter) Yes/No6 months

pt self reported general assessment of successful instillation using the syringe adapter

Secondary Outcome Measures
NameTimeMethod
Number of participants who use syringe adapter 3 years after initial assessment (yes/no)1 yr

long term adherence to syringe adapter (still using in in clinical practice)

Total number of UTI's during syringe adapter use amongst all patients6 months

Recorded UTI's reported in electronic patient database during the time they used syringe adapter

PRO; patient reported reasons for trying syringe adapter in stead of regular catheter (5 options)6 months

patient reported subjective reasons for trying the syringe adapter: options: urethral pain, convenience, fear of catheter, urine tract infections or other

PRO ; patient reported reasons to continue syringe adapter (5 options)6 months

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)

Trial Locations

Locations (1)

Radboudumc

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Nijmegen, Gelderland, Netherlands

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