Urologists’ Perspectives on Clean Intermittent Catheterization in Libya: A National Survey

Abstract

Clean intermittent catheterization (CIC) is considered the gold standard for the management of neurogenic bladder and chronic urinary retention; however, its implementation remains challenging in developing healthcare systems. This national cross-sectional survey aimed to assess Libyan urologists’ awareness, clinical practice patterns, and perceived barriers related to CIC. A structured, anonymous questionnaire was distributed to practicing urologists across Libya, and data were analyzed using descriptive statistics and chi-square tests. Sixty-three urologists participated, with an overall CIC familiarity rate of 79.4%, which differed significantly by professional level (p = 0.015). Only 31.7% reported consistent availability of CIC supplies. The most frequently reported barriers were catheter unavailability (65.1%), patient resistance (57.1%), and lack of patient awareness (46.0%). Urologists were primarily responsible for patient education in 81.0% of cases. Despite adequate knowledge among clinicians, significant systemic and logistical barriers continue to limit effective CIC implementation. Coordinated national efforts focusing on guideline development, structured training, and stabilization of supply chains are essential to improve CIC uptake and patient outcomes in Libya. Despite good CIC familiarity among Libyan urologists, significant systemic barriers limit implementation. National guidelines, structured training, improved access to supplies, and broader public engagement are essential to expand CIC use and improve patient outcomes.