1. Indications
2. Types
3. Sizes
4. Locations
5. Complications

Indications

• Post-operative to assess urinary output, perfusion.
• Prostatic obstruction:
  • BPH [most likely].
  • CA of prostate.
• Other obstructions:
  • Clots.
  • Stones.
  • Bladder CA.
• Trauma.
• Paralysis.

Types

• Regular latex or simplastic: cheap, use for most things.
• Silastic [clear silicone]: for long term, since less infection, but more expensive.
• Teeman: tapered tip for easier insertion around prostate.
• Coudé: angled for easier insertion around prostate.

Sizes

• 12 to 24 for adults.
• 12 is smallest, 24 is largest.
• 12-16 usually range, big ones used for clots.

Locations

• Per uerethram: 
  • Location: up urethra.
  • Indication: most cases.
  • Contraindications: acute prostatitis, injured urethra.
• Suprapubic:
  •  Location: superior to pubic symphysis.

Complications

• Infection.
• Trauma on insertion.
• Confused pt rips it out, causing trauma.
• Bladder spasm.