Coude catheter

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Indications/Contraindications

-Same as for Foley catheter placement (but typically used after failure of Foley placement) in a man with an enlarged prostate.

-Almost never used in pediatric patients


Procedure

-insert with curved tip pointing up (cephalad)

-gentle but continuous pressure past the resistance point

-advanced until the hub is at the glans (with urine return through catheter)

-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