Coude catheter

Indications/Contraindications

1. Same as for Foley catheter placement (but typically used after failure of Foley placement) in a man with an enlarged prostate.
2. Almost never used in pediatric patients

Procedure

1. insert with curved tip pointing up (cephalad)
2. gentle but continuous pressure past the resistance point
3. advanced until the hub is at the glans (with urine return through catheter)
4. inflate balloon (10 mL of saline)

Complications

creation or extension of false tracts

Source

Evaluation and treatment of acute urinary retention. J Emerg Med. 2008: 35:193-198