RecommendationConsider offering surgery on the bladder outlet without prior catheterisation to men who have chronic urinary retention and other bothersome LUTS but no impairment of renal function or upper renal tract abnormality.
Trade off between clinical benefits and harmsQuality of life of the patient is the most important outcome. Trauma to the urethra, discomfort, urinary infection, haematuria are also important outcomes. The benefits of catheterisation need to be considered against the complications of inserting a catheter. Quality of life of patients may be better without catheterisation. Duration between presentation and surgical intervention may influence the decision whether to catheterise or not.
Economic considerationsIn this group of men the benefits of catheterisation are unlikely to outweigh the complications and costs.
Other considerationsTURP may be safer (less blood loss) and more effective for patients who have previously not been catheterised.

From: 13, Treating men with urinary retention

Cover of The Management of Lower Urinary Tract Symptoms in Men
The Management of Lower Urinary Tract Symptoms in Men [Internet].
NICE Clinical Guidelines, No. 97.
National Clinical Guideline Centre (UK).
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