Continence issues can arise due to spinal cord injuries, birth defects, multiple sclerosis, or aging-related disorders including benign prostatic hyperplasia (BPH). To address these concerns, continence care products are broadly used across medical facilities and they form an integral part of hospital & continued care in home settings for patients. It contains products such as intermittent catheters, external/foley catheters, urine bags, and products for bowel management (colostomy bags, nerve modulation devices, irrigation systems & other accessories).

The Global Continence Care Market valued at US$ 2.8 bn (2021) is expected to witness a growth rate of 5% in the next five years. The rising geriatric population, increasing cases of spinal cord injuries, prostate enlargement, prostatectomy, spina bifida, multiple sclerosis, urinary incontinence, benign prostatic hyperplasia (BPH), kidney stones, urethra blockages, scientific advancements, shift from reusable to single-use hydrophilic catheters, favorable reimbursement in key markets and improving access to healthcare in emerging markets are some of the key factors driving the global continence care market. However, commoditization and entry of low-spec players are likely to hamper the market growth.

Irregular Catheters Expected to Continue Its Dominance in the Next Five Years
Intermittent catheterization is the usage of a single-use catheter to drain the bladder on a regular or semi-regular basis. It is generally used over other forms of catheterization as it offers the following advantages:

Increased Autonomy: The patient is not required to wear the catheter constantly but only at regular intervals when emptying the bladder. It simulates natural voiding and can also be used at home and workplaces

Reduced Risk of Infections: Since the time the catheter is inside the body is less in case of intermittent catheterization, it reduces the chances of urinary tract infections (UTIs) and other infections

Reduced Complications: Intermittent catheters are removed at regular intervals and hence do not get encrusted. In scenarios where it gets blocked, it can be easily removed and replaced with a new one

“Intermittent catheters segment is differentiated with users preferring products proven to lower risk of infections & having greater ease-of-use. Patients typically use 3-4 intermittent catheters a day; often for many years/lifetimes. Because of its advantages, it is likely to continue to hold a major share in the coming years." Director, Leading Continence Care Device Manufacturer, United States

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The Trend of Forward Integration – A Key Winning Strategy
The important players operating in the continence care market are progressively buying distributors/wholesalers to have deep-rooted penetration in key markets. The control of distribution channels provides prominent players more ability to increase their market shares even though the regulation requires distributors to carry competing products.

For instance,

Over the years, Convatec entered into several mergers and acquisitions [Southlake Medical USA (2019), J&R Medical USA (2018), Woodbury Holding USA (2017)] in the continence care market to establish its foothold in the market

Digital Patient Engagement – An Important Customer Acquisition Strategy
The leading players operating in the continence care market are investing in various service platforms/programs and patient support apps to retain existing customers and encourage users to upgrade to newer devices/platforms. Programs offer patients educational tools, access to nurses, advice on products & ability to capture/compare data. Key players such as Convatec & Coloplast have launched comprehensive patient support/nursing staff/apps to ensure strong patient engagement.

For instance,

The Coloplast® Care program offers:

Dedicated Care Advisor to assist patients with their product and lifestyle, education, and support

Product samples and tools to assist patients in their transition to using intermittent catheters or ostomy products

Assists patients in finding the right supplier for the product and insurance needs

Patients get monthly wellness education addressing lifestyle issues

High-tech Developments Drive the Continence Care Market
The continence care market is technology-driven and is marked by product enhancements/innovations.

For instance,

In January 2022, Otsuka Pharmaceutical Factory launched Actreen, an intermittent urological catheter. It is a single-use catheter that can be used during self-catheterization in people who have lost the urge to urinate or who usually have difficulty urinating. The surface of the catheter is coated with a hydrophilic lubricant, which can be used immediately after opening, and also contains a product with an integrated urine collection bag that can be used according to the patient's condition

In March 2021, Hollister launched the Infyna Chic™ intermittent catheter, the latest in the company's line of hydrophilic catheter products, in the US

Organic and Inorganic Growth Strategies Adopted by Players to Establish Their Foothold
The continence care market is marked by the presence of both established and new players. Players operating in the market adopt both organic and inorganic growth strategies such as acquisitions, and new product launches to garner market share.

For instance,

In June 2022, Hollister was awarded a three-year group purchasing agreement for Urological products with Vizient, Inc., the nation’s largest member-driven health care performance improvement company. The agreement allows Vizient members increased access through negotiated pricing to the full portfolio of the Hollister Incorporated Urological products, including its VaPro™ hydrophilic catheters

The continence care market is expected to continue to grow in the coming years due to the aging population, penetration potential of intermittent catheters (ICs), improving access to healthcare in emerging markets, expanding middle-class population, better awareness & healthcare coverage, and growing cases of incontinence.

Competitive Landscape Analysis of Continence Care Market
The global continence care market is marked by the presence of players such as Coloplast, Wellspect, Bard/BD, Hollister, Convatec, Teleflex, B. Braun, UROMED, Renew Medical, and VitalCare among others.

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