A 67-year-old man undergoes an elective knee replacement. After removal of his urethra! catheter, he goes into acute, painful urinary retention. The FY1 on call, the orthopaedic SpR and the general surgery SpR are unable to reinsert a urethral catheter. How should this patient be managed?Urethral catheterisation is one of the most frequently performed procedures in clinical practice. A study investigating 40 hospitals estimated that the overall rate of catheterisation in acute care was 26.3% (12-40%).Despite clear indications for catheterisation (Table 1), reports estimate that the inappropriate use of catheters ranges from 21% to over 50 %.
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