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Guidelines for clean intermittent catheterization in children.

Zhao-Kai Zhou1, Yi-Bo Wen1, Qing-Wei Wang1

  • 1Pediatric Urodynamic Center and Department of Urology, The First Affiliated Hospital of Zhengzhou University, Henan Joint International Pediatric Urodynamic Laboratory, Zhengzhou, 450052, China.

World Journal of Pediatrics : WJP
|January 21, 2026
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Summary
This summary is machine-generated.

This guideline provides standardized recommendations for clean intermittent catheterization (CIC) in children, improving bladder emptying for those with urinary difficulties. It emphasizes caregiver training and a multidisciplinary approach for effective management.

Keywords:
ChildrenClean intermittent catheterizationGuidelinesPost-voided residualSafe bladder capacityUrodynamic study

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Area of Science:

  • Pediatric Urology
  • Nephrology
  • Guideline Development

Background:

  • Clean intermittent catheterization (CIC) is crucial for bladder emptying in pediatric patients with voiding dysfunction.
  • Lack of standardized protocols for pediatric CIC necessitates expert consensus.
  • This guideline aims to standardize CIC application in children.

Purpose of the Study:

  • To establish evidence-based recommendations for the standardized application of CIC in pediatric populations.
  • To provide a protocol for consistent and effective bladder management in children requiring CIC.

Main Methods:

  • Systematic literature review of clinical trials, cohort studies, case series, and consensus statements.
  • Searches conducted across major databases: PubMed, Embase, Cochrane Library, Web of Science.
  • Guideline development followed the WHO Handbook for Guideline Development (2nd edition).

Main Results:

  • CIC is recommended for children with increased post-void residual (PVR) posing upper urinary tract risk.
  • Safe bladder capacity (SBC) and PVR measurements, alongside voiding diaries, guide CIC frequency.
  • Specialized caregiver training, meticulous hygiene, and a collaborative multidisciplinary approach are essential for successful CIC implementation.

Conclusions:

  • A standardized protocol for pediatric CIC has been established.
  • This guideline facilitates consistent and effective bladder emptying in children.
  • The protocol supports optimal management of lower urinary tract dysfunction in pediatric patients.