Bladder & Bowel Management

Our mission is to improve the lives of people living with bladder and bowel leakage (incontinence) and urine retention problems. We carry out collaborative and multidisciplinary research with outcomes that have maximum impact on patients by influencing policy and changing practise throughout the UK and internationally. Our research focuses on developing and evaluating sustainable technologies and strategies designed to contain or drain urine/faeces and minimise infection in order to improve quality of life for people living with bladder and bowel problems (led by Mandy Fader). The experience of end users is at the heart of our work and product users and informal carers are involved at all stages. We have strong established collaborations in the UK and worldwide with consumer and professional groups, condition-specific charities, industry and many academic groups.

Overview

Continence Technology Theme — Continence Technology

Our research encompasses a wide range of disciplines/methods:

1.Development of evidence-based information and resources for people with incontinence and specific clinical groups: including the Continence Product Advisor website (led by Mandy Fader and Margaret Macaulay), a Product Decision Aid and resources for people with dementia and their carers (led by Catherine Murphy) and men preparing for incontinence related to prostate cancer (led by Margaret Macaulay)

2.Development of prototype products and evidence-based interventions for:
a) Incontinence and bladder and bowel management including:

New cleaning methods to enable the reuse of intermittent urinary catheters (Multicath led by Mandy Fader and Margaret Macaulay; JVS led by Sandra Wilks);
Prototype penile compression device (led by Mandy Fader) in collaboration with colleagues researching skin interfaces and soft tissue biomechanics (the Skin Health Group led by Dan Bader and Peter Worsley) and engineers (Alex Dickinson)

b) Prevention of catheter-associated urinary tract infection including:

Laboratory-based study of catheters and biofilms (led by Sandra Wilks and Bill Keevil)
Evaluation of clinical methods for minimisation of catheter use and reduction of infection in acute care (led by Jacqui Prieto)

c) Cell biology, in particular urine and bladder pathologies (led by Bashir Lwaleed).

3.Clinical trials of products or interventions including the evaluation by users of a wide range of existing and new technologies such as pads, urinals and male devices (led by Mandy Fader); catheter related research focussing on the potential for re-use of intermittent urinary catheters (led by Mandy Fader and Margaret Macaulay) and catheter devices used by long-term catheters users in the community (led by Sandra Wilks and Catherine Murphy).

External Collaborators

Omar Abdelwahab - Clinical Lecturer, Human Anatomy and Embryology
Miriam Avery - Senior Research Nurse (University Hospital Southampton NHS Foundation Trust)
Bridget Clancy - Senior Research Nurse (University Hospital Southampton NHS Foundation Trust)
Chris de Laine Independent - Clinical Nurse Specialist
Kamaluddeen Garba - Lecturer in Pharmacology and Therapeutics
Muhammadbukhoree Yusuh - Lecturer, Anatomy and Physiology
Alan Cottenden - Emeritus Professor of Continence Technology, UCL
Brian Buckley - Independent Health Service Researcher, Honorary Clinical Fellow, National University of Ireland
James Malone-Lee - Emeritus Professor of Medicine, UCL
Katherine Moore - Emeritus professor of Nursing, University of Alberta

Academic groups

Skin Health University of Southampton
Biological Sciences University of Southampton
Wessex Academic Health Science Network
Bristol Urological Institute (Marcus Drake, Paul Abrams)
School of Health and life Sciences Glasgow Caledonian University (Suzanne Hagen)
School of Biosciences and Medicine University of Surrey (Heather Gage)
WHO Department of Essential Medicines and Health Products (Emma Tebbutt, Wei Zhang)
National Biofilms Innovation Centre, University of Southampton (host university)
Institute for Life Sciences, University of Southampton
Bioengineering Science Research Group, University of Southampton

Industry

Professional & consumer organisations

Media

Small Tube - Big Problem

By Prof Mandy Fader - 4 July 2015

BBC Breakfast Interview with Mandy Fader

Publications

Key Publications

Staff

Related Projects

List of related projects to
Related Projects	Status	Type
Continence Product Advisor	Active	Other
Development and Clinical trial of a mixed (Multi/single-use) catheter management package for users of Intermittent Catheters - MultICath	Active	Other
Dementia and incontinence at home (DINAH)	Active	Other
Prostate Cancer TrueNorth	Active	Other
The effect of low frequency ultrasound on urinary catheter biofilms	Active	Other
Evaluation of a novel cleaning method for uncoated intermittent catheters	Active	Other
Bladder Pathology	Active	Other
Usability and acceptability of washable continence products in Lower and Middle Income Countries	Active	Grant
TReating Urinary symptoms in Men in Primary Healthcare (TRIUMPH) using non-pharmaceutical and non-surgical interventions.	Active	Other
A realist synthesis of evidence on the effectiveness of interventions that aim to prevent urinary tract infection among older people living in care homes (StOP UTI)	Active	Other
Urinary catheter ‘fill and flush’ valve: safety, effectiveness, acceptability and feasibility trial	Active	Other

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