Abstract
Answer B. Consider using a conveen
Urinary tract infections are common with catheters and patients may present with symptoms to general practitioners. Patients should only be treated if symptomatic rather than if urine dips are positive. Intermittent self-catheterisation is an option (more in patients with a neuropathic bladder or bladder obstructive disorders), but this option is inappropriate in a patient unable to self-catheterise. Blood tests in this scenario are not specifically indicated and a urology referral is not immediately appropriate. Alternatives, such as pads or conveens, offer a simple solution in some patients catheterised for incontinence. There is a significant risk of urinary retention when removing indwelling catheters in male patients.
InnovAiT article: Urinary catheterisation: indications, technique and managing failure. DOI:10.1177/1755738017707551.