Evidence map›Paper›PMID 40543005›Full record

ArticleInternational urogynecology journal2025

Detrusor Underactivity and Acontractile Bladder Patients Performing Clean Intermittent Catheterization in a Single Tertiary Referral Center: What is Happening in Real Life?

Karel Dewulf, Alicia Meurice, Thibault Duvillier, Fons Van Isveldt, Wouter Everaerts, Maarten Albersen, Frank Van der Aa, Dirk De Ridder

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Article in International urogynecology journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Karel DewulfDepartment of Urology, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium.
Alicia MeuriceDepartment of Urology, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium.
Thibault DuvillierDepartment of Urology, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium.
Fons Van IsveldtDepartment of Urology, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium.
Wouter EveraertsDepartment of Urology, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium.
Maarten AlbersenDepartment of Urology, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium.
Frank Van der AaDepartment of Urology, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium.
Dirk De RidderDepartment of Urology, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium. dirk.deridder@uzleuven.be.ORCID 0000-0001-6914-0077

Funding

Belgische Federale Overheidsdiensten IUAPP7/13Fonds Wetenschappelijk Onderzoek G0A6113N
6 · The paper itself

Abstract

objectivesBladder emptying disorders, caused by detrusor underactivity (DU) and acontractile detrusor (ACD) are frequent conditions, where the focus of treatment is often targeted on minimizing secondary complications by bladder catheterization. If feasible, the preferred method is clean intermittent catheterization (CIC). In this study, we investigate underlying diseases, clinical and urodynamic parameters of a real-life cohort of DU and ACD patients requiring CIC.

methodsWe performed a retrospective chart review of 133 patients performing CIC due to DU or ACD from 2015 to 2020. Demographic, clinical and urodynamic data were extracted for further analyses.

resultsOf 133 patients included, 74% had ACD. Neurogenic diseases were present in 47% of patients, followed by pelvic surgery (23%) and pharmacotherapy (14%). Persistent need for bladder drainage on the long term was observed in 75% of patients. Of patients who discontinued CIC, 44% had a successful treatment. Sacral neuromodulation was the most frequent successful treatment in 56% of patients. Urine tract infections (UTIs) were present in one third of patients.

conclusionsIn this patient cohort needing CIC, ACD was more frequent than DU. Most patients who need CIC for DU or ACD require bladder drainage on the long term. Underlying neurogenic diseases are the most frequent.

Indexed as

Intermittent Urethral CatheterizationUrinary Bladder, NeurogenicUrinary Bladder, UnderactiveAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective StudiesTertiary Care CentersUrodynamicsAcontractile detrusorClean intermittent catheterizationDetrusor underactivity

Identifiers

PMID40543005

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.