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A table highlighting the main problems seen in the community with urinary catheters
| Problem | Causes | Actions/Interventions |
|---|---|---|
| Blocked/ Bypassing catheter or SPC | 1. Bladder spasm< 2. UTI 3. Blocked 4. Debris 5. Blood clot 6. Not in the right place | Check for UTI, catheter position, flush catheter, AXR for bladder stones, use of antimuscarinics, refer to clot retention pathway. |
| Debris in catheter/ SPC | 1. UTIs 2. Bladder stones 3. Neobladder or bladder augmentation | Check for UTIs, catheter position, flush catheter, AXR for bladder stones, and refer to urology nurse if the problem persists. |
| Penile discomfort with catheter | 1. Catheter irritation 2. Traumatic hypospadias 3. UTI | Examine penis for trauma, check for UTI, use of instillagel and antimuscarinics, and refer to urology nurse if the problem persists. |
| Traumatic hypospadias | 1. Long term urethral catheter 2. Catheter tubing too tight 3. No G-strap/stat lock | Refer to urology for outpatient review to discuss SPC insertion. |
| Recurrent UTI with catheter/ SPC | 1. Long-term catheter 2. Recent catheter change 3. Bladder stones | Treat with antibiotics if symptomatic, check for bladder stones, refer to urology for repeated infections, and change catheter after treatment. |
| Unable to change the catheter | 1. Poor technique 2. Urethral trauma/false passages 3. Large... |
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