Evidence map›Paper›PMID 40705091›Full record

ArticleWorld journal of urology2025

Decision-making algorithm for difficult intermittent self-catheterization: construction and validation using the Delphi method.

Claire Hentzen, Xavier Biardeau, Marie-Aimée Perrouin-Verbe, Kathleen Charvier, Camille Chesnel, Pierre Denys, Jean François Hermieu, Jacques Kerdraon, Benoit Peyronnet, Alain Ruffion and 4 more

Abstract readValidation Study
PubMed Full text at PMC Publisher
In one paragraph

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

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Claire HentzenSorbonne University, GRC 01, GREEN Group of clinical REsEarch in Neurourology, AP-HP, Hôpital Pitié Salpêtrière, Paris, 75013, France. claire.hentzen@aphp.fr.ORCID http://orcid.org/0000-0002-9223-4925
Xavier BiardeauDepartment of Urology, Lille Neuroscience and Cognition, Univ. Lille, CHU Lille, and Inserm UMR-S1172 LilNCog, Lille, 59000, France.
Marie-Aimée Perrouin-VerbeDepartment of Urology, Centre Hospitalier Universitaire de Nantes, Nantes, 44000, France.
Kathleen CharvierService de rééducation neuro-périnéale et sexologique - Hôpital Henry Gabrielle et Service d'urologie - Centre Hospitalier Lyon Sud, Hospices Civils de Lyon, Lyon, France.
Camille ChesnelSorbonne University, GRC 01, GREEN Group of clinical REsEarch in Neurourology, AP-HP, Hôpital Pitié Salpêtrière, Paris, 75013, France.
Pierre DenysNeuroUrology and Andrology Unit, PMR department, Raymond Poincaré Hospital AP-HP, UVSQ Paris Saclay University, UMR 1179 Endicap, Garches, France.
Jean François HermieuDepartement d'Urologie, Hopital Bichat, 46 rue Henri Huchard, 75018, Paris, France.
Jacques KerdraonCMRRF Kerpape, 100 Rue de l'Anse du Stole, 56270, Ploemeur, France.
Benoit PeyronnetDepartment of urology, University of Rennes, Hôpital Pontchaillou, 2 rue Henri le GUILLOUX, Rennes, 35000, France.
Alain RuffionUrology Department, Lyon Cancer Innovation Center (EA 3738 CICLY), Lyon Sud Medical School, Lyon Sud Hospital, Hospices Civils de Lyon, University of Lyon 1, Lyon, France.
Christian SaussineService d'urologie, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg, France.
Jean-Marc SolerLaboratoire de Neuro-Urologie à l'USSAP, Centre BOUFFARD VERCELLI, Perpignan, France.
Xavier GaméDépartement d'Urologie, Transplantation Rénale et Andrologie, CHU Rangueil, Université Paul Sabatier TOULOUSE III, Toulouse, France.
Gérard AmarencoSorbonne University, GRC 01, GREEN Group of clinical REsEarch in Neurourology, AP-HP, Hôpital Pitié Salpêtrière, Paris, 75013, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIntermittent Self Catheterization (ISC) is the gold standard for chronic neurogenic and non neurogenic urinary retention. However, difficulties encountered may lead to poor adherence and discontinuation. This study aimed to develop and validate a decision-making algorithm to guide first and second line management of the more common difficulties reported by patients performing ISC.

methodsA survey conducted amongst patients, nurses and physicians identified the most frequent difficulties encountered with ISC. Based on a literature review and expert experience, a steering committee, composed of 14 urologists and physical medicine and rehabilitation practitioners, developed a preliminary algorithm outlining management strategies for each identified issues. The algorithm was then validated by a panel of experts through a Delphi process.

resultsSix difficulties were identified: pain, infections, bleeding, blockage, technical issues and neuro-psychological barriers. Twenty experts participated in the voting group. Of the 68 initial items, 61 were validated and included in the final algorithm (30 with a strong agreement, 31 with a relative agreement).

conclusionsThis multidisciplinary collaborative work resulted in a validated decision-making algorithm designed to complement to existing guidelines. It supports healthcare professionals from different backgrounds in managing patients who report difficulties with ISC.

Indexed as

AlgorithmsDecision MakingIntermittent Urethral CatheterizationSelf CareUrinary RetentionDelphi TechniqueFemaleHumansDecision-making algorithmDifficultiesIntermittent self-catheterization (ISC)Urinary bladder, neurogenicUrinary retention

Identifiers

PMID40705091
PMCPMC12289836

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.