"Wrong treatment"

About: The Royal London Hospital

I was admitted to the Royal London Hospital with acute urine retention (AUR) resulting from acute bacterial prostatitis. I was catheterised by a nurse who used a wrong type of 3-way catheter. The catheter was huge, the size of my little finger. It was not indicated in my case as I didn't have gross haematuria. The catheterisation caused severe pain as the catheter went through the prostate area and I nearly passed out. Two days later I got epididymitis as a complication of this procedure as explained to me by the urologist consultant. Spending 5 days at hospital I was told and given a discharge letter saying that a follow-up appointment would be booked in 2 weeks for catheter removal and evaluation of further therapy. However I received an appointment letter to attend the clinic 40 days later in September. I am a medical doctor and I did a search of medical literature regarding the approach of catheter placement in AUR resulting from acute bacterial prostatitis. The recommendation is to insert a Foley catheter gently for drainage if severe obstruction is suspected. A punch suprapubic tube should be used if a catheter cannot be passed easily or is not tolerated by the patient. The catheter can be removed 24-36 hours later. The prolonged urethral catheterisation is not warranted as it carries many risks like Infections, including urethritis, cystitis, pyelonephritis, transient bacteraemia and urethral strictures. Keeping a catheter for 40 days after its insertion is a wrong and not justified decision.

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Responses

Response from The Royal London Hospital

Dear Dobromir

We are sorry to read of your experience during your time in our Urology Department and following your discharge.

Thank you for highlighting your concerns with us. Your feedback is important to us and has been shared with the Urology Team.

If you would like to discuss the concerns you have raised here further, please do contact our Patient Advice and Liaison Service on 020 3594 2040 or by email: pals@bartshealth.nhs.uk to discuss this in more detail.

Kind regards

Barts Health NHS Trust

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