An 82 year old man on the surgical ward goes into urinary retention. Bladder ultrasound reveals an 800ml residual. An attempt to catheterise him with a 14Fr urinary catheter fails as it cannot be passed successfully. Which of the following is best next step?

Question

An 82 year old man on the surgical ward goes into urinary retention.  Bladder ultrasound reveals an 800ml residual.  An attempt to catheterise him with a 14Fr urinary catheter fails as it cannot be passed successfully.  Which of the following is best next step?

Answer

Insert a 18Fr urinary catheter.

Answer

Insert an Adacath suprapubic catheter.

Answer

Insert a Bonallo suprapubic catheter.

Answer

Insert a 10Fr urinary catheter.

Answer

Leave the patient for one hour for trial of void.

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An 82 year old man on the surgical ward goes into urinary retention. Bladder ul...

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