Urology Tools Flashcards
Foley catheter:
Complications
Early: Creation of false tract Urethral rupture Paraphimosis Haematuria
Late:
Infection
Block
Foley Cathether:
Contraindications
Any kind of urethral trauma eg.
Blood at urethral meatus
High-riding prostate
Scrotal haematoma
Pelvic fracture
Causes of a non-draining catheter
Blocked: flush with 20ml saline
Slipped into prostatic urethra: flushes but won’t drain
Catheter had perforated the lower tract on insertion and is not in the bladder
Renal or pre-renal failure
TWOC (Trial Without Catheter)
After 24-72hrs in AUR
May be performed as a urology outpatient if retention likely
Tamsulosin decreases risk of retention afte TWOC
Long term Catheterisation:
Indications
Chronic bladder outlet obstruction
Neurogenic bladder with chronic retention
Complications of incontinence eg. Refractory skin breakdown, palliative care, patient preference
Clean Intermittent Self-Catheterisation:
Indications
Chronic retention
Neuropathic bladder eg MS, DM neuropathy, spinal trauma
3-Way Irrigation Foley Catheter:
Indication
Irrigate bladder after patients at risk of clot retention
Eg after TURP or in patients with haematuria
Suprapubic Catheter:
Indications
Urethral injuries
Urethral obstruction eg BPH or prostate Ca
Suprapubic Catheter:
Complications
Viscus perforation
Haemorrhage
Malignancy seeding
Suprapubic Catheter:
Contraindications
Known or suspected bladder carcinoma
Undiagnosed haematuria
Previous lower abdominal surgery–> adhesion of small bowel to abdo wall
JJ or Ureteric Stent:
Indications
Relieve Ureteric obstruction eg stones or tumours
May be inserted intra-op during renal Tx
JJ or Ureteric Stent:
Complications
Infection
Blockage
Displacement/migration
Catheterisation:
Indications
Diagnostic:
Measure urine output
Sterile urine sample
Renal tract imaging
Therapeutic: Urinary retention Immobile patients Bladder irrigation Intermittent decompression of neuropathic bladder
