About: The Royal London Hospital The Royal London Hospital E1 1BB
Posted by Dobromir
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.