{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:06:33Z","timestamp":1787317593123,"version":"build-2736575974"},"reference-count":7,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,12,11]],"date-time":"2023-12-11T00:00:00Z","timestamp":1702252800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Clean intermittent self\u2010catheterisation (CISC or ISC) is used by patients\/carers to empty the bladder if needed. Sometimes the urethral lumen leading out of the bladder is blocked; sometimes, the bladder (detrusor) muscle itself or the autonomic motor nerves innervating the bladder are damaged, resulting in a failure of the detrusor muscle to work, leading to a failure of the bladder being able to empty adequately. Prior consensus as to the indications and timing of CISC has yet to be provided. This article aims to provide a multidisciplinary consensus view on this subject.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>It is evident that every patient needs to be considered individually, bearing in mind the symptoms and investigations to be considered. We emphasise the importance of considering the term Bladder Voiding Efficiency (BVE). One group of patients who might find CISC helpful are those with a neurological disorder; these include spinal injury patients, multiple sclerosis, Parkinson's, and a condition called cauda equina. Sometimes bladder problems are treated with anticholinergics, and others may be treated with Botox. These may cause the bladder not to empty at all, which is good for leaks but needs self\u2010catheterisation to empty the bladder. In the past, hospitals used a permanent catheter called an \u2018indwelling\u2019 or a \u2018suprapubic\u2019 catheter. These can have side effects, including infections, stones, and pain. For CISC, disposable catheters are the best option for patients as they come in different sizes and styles to provide individualised care. In conclusion, we would like hospitals to consider each patient separately and not use a general \u2018one\u2010size\u2010fits\u2010all\u2019 bladder function for these patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nau.25353","type":"journal-article","created":{"date-parts":[[2023,12,11]],"date-time":"2023-12-11T13:50:05Z","timestamp":1702302605000},"page":"459-463","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["A consensus statement on when to start clean intermittent self\u2010catheterization: An untapped resource?"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2960-9931","authenticated-orcid":false,"given":"Christopher","family":"Chapple","sequence":"first","affiliation":[{"name":"Department of Urology Sheffield Teaching Hospitals NHS Foundation Trust Sheffield UK"},{"name":"University of Sheffield Sheffield UK"},{"name":"Sheffield Hallam University Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2776-2200","authenticated-orcid":false,"given":"Paul","family":"Abrams","sequence":"additional","affiliation":[{"name":"University of Bristol Bristol UK"},{"name":"Bristol Urological Institute, Southmead Hospital Bristol UK"},{"name":"Bristol Health Research Charity Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Lam","sequence":"additional","affiliation":[{"name":"Aberdeen Royal Infirmary \u2010 NHS Grampian Aberdeen UK"},{"name":"Academic Urology Unit University of Aberdeen Aberdeen UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Altaf","family":"Mangera","sequence":"additional","affiliation":[{"name":"Spinal Injuries Unit Sheffield Teaching Hospitals NHS Foundation Trust Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Belal","sequence":"additional","affiliation":[{"name":"University Hospitals Birmingham NHS Foundation Trust Birmingham UK"},{"name":"The British Association of Urological Surgeons London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmel","family":"Curtis","sequence":"additional","affiliation":[{"name":"King's College Hospital NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline","family":"Emkes","sequence":"additional","affiliation":[{"name":"National Bladder and Bowel Health Project NHS England and Excellence in Continence Care Board \u2013 Chair Patient and Carer forum Manchester UK"},{"name":"Bladder Health UK Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Hillery","sequence":"additional","affiliation":[{"name":"York and Scarborough Teaching Hospitals NHS Foundation Trust York UK"},{"name":"The British Association of Urological Nurses Bathgate UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Irwin","sequence":"additional","affiliation":[{"name":"Bladder &amp; Bowel UK Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Logan","sequence":"additional","affiliation":[{"name":"Aneurin Bevan University Health Board Newport UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Polly","family":"Weston","sequence":"additional","affiliation":[{"name":"University Hospitals of Morecambe Bay NHS Foundation Trust Kendal UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann","family":"Yates","sequence":"additional","affiliation":[{"name":"Cardiff &amp; Vale University Health Board Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,12,11]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"UK National Institute for Health and Care Excellence (NICE). Clinical guideline: lower urinary tract symptoms in men: management (CG97). 2015.\u00a0https:\/\/www.nice.org.uk\/guidance\/cg97\/resources\/lower-urinary-tract-symptoms-in-men-management-pdf-975754394053"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1995.tb05528.x"},{"issue":"3","key":"e_1_2_6_4_1","first-page":"655","article-title":"How to use the nominal group and Delphi techniques","volume":"38","author":"McMillan SS","year":"2016","journal-title":"Int J Clin Pharm"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410x.1999.00121.x"},{"key":"e_1_2_6_6_1","unstructured":"Prescribing & Medicines Team NHS Digital. Prescription cost analysis \u2013 England 2015. NHS Digital.\u00a0Accessed May 14 2023. 2016.http:\/\/content.digital.nhs.uk\/catalogue\/PUB20200\/pres-cost-anal-eng-2015-rep.pdf"},{"key":"e_1_2_6_7_1","unstructured":"AUA guideline on management of neurogenic lower urinary gtract dysfunction NLUTD. 2021."},{"key":"e_1_2_6_8_1","unstructured":"EAU Guidelines. Edn. presented at the EAU Annual Congress Milan March 2023.https:\/\/www.auanet.org\/guidelines-and-quality\/guidelines\/adult-neurogenic-lower-urinary-tract-dysfunction"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.25353","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,14]],"date-time":"2024-03-14T08:49:50Z","timestamp":1710406190000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.25353"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,11]]},"references-count":7,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1002\/nau.25353"],"URL":"https:\/\/doi.org\/10.1002\/nau.25353","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,11]]},"assertion":[{"value":"2023-06-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-25","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-12-11","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}