ABSTRACT Background Clean intermittent catheterization (CIC) plays a key role in the management of children whose neurological, anatomical, or functional conditions hinder complete or spontaneous bladder emptying. Its significance extends beyond clinical outcomes, influencing family relationships, psychosocial development, school experiences, and the child's long‐term independence. Aim This position paper outlines the consensus of experts from the International Children's Continence Society (ICCS) on the broader impact of CIC on children with bladder dysfunction and their families. It offers practical recommendations for everyday life, integrating family perspectives, clinical experience, and observational insights. The paper addresses key aspects such as family dynamics, body image, self‐esteem, school participation, peer relationships, and the transition to self‐management and adulthood. Methods The content is based on evidence from the scientific literature, supplemented by expert consensus in areas where direct research evidence is limited. Due to the paucity of studies specifically containing cohorts involving just children, studies involving heterogeneous populations (both children & adults) are cited. This is not meant to be a systematic review of all available literature involving CIC. Results Central topics include optimal timing and preparation for initiating CIC, strategies to foster independence and reduce family stress, and school accommodations such as access to private facilities and flexible schedules to maintain privacy and dignity. It also highlights guidance on communication, social inclusion, and adolescent sexuality, supported through youth‐focused counseling and peer networks. It provides checklists and evidence‐based recommendations to help healthcare professionals, educators, and caregivers design individualized CIC plans that promote adherence, psychosocial well‐being, and quality of life from childhood to adulthood.
ABSTRACT Importance Same‐day cancellation of office‐based urodynamic testing, frequently due to urinary tract infections (UTIs), can introduce financial and strategical burdens for both the patient and the clinic. Objective This study aimed to develop and internally validate a clinical prediction model for urodynamic procedure cancellation due to suspected UTI. Methods This retrospective cohort study included patients scheduled for urodynamic testing at a single academic urogynecology practice (August 1, 2022, to April 30, 2024). Data was collected via electronic medical record review. Least Absolute Shrinkage and Selection Operator (LASSO) regression with 10‐fold cross‐validation was used for variable selection. A clinical prediction nomogram and web‐based calculator were developed for clinical implementation. Results A total of 841 patients were included (mean age 63 ± 13.9 years; mean BMI 29.7 ± 6.7 kg/m 2 ). UTI‐related cancellation occurred in 57 (6.8%) patients. After LASSO selection, 5 predictors were retained: age, POP‐Q stage, BMI, recurrent UTI history, and diabetes. The model demonstrated good apparent discrimination (C‐statistic 0.759; sensitivity 75.4%, specificity 62.8%, NPV 97.4%) with a Brier score of 0.060. Full‐process bootstrap validation revealed a calibration slope of 0.992. Decision curve analysis confirmed net clinical benefit across threshold probabilities of 2–‐40%. Conclusions Several variables predict suspected UTI‐related urodynamic cancellation, the most significant of which is age. This nomogram and online calculator provide clinicians with practical tools for identifying patients at elevated risk of procedure cancellation, enabling targeted preprocedural intervention.
