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thephysician on Instagram: "❌ Urethral injury = no urethral catheter 🔹 Red flags: blood at meatus, retention, pelvic fracture 🔹 Blind catheter → false passage, bleeding, strictures ✅ Do RUG first ✅ Divert urine via suprapubic catheter ✅ Only urologist may attempt guided catheter#salmankhan #apdhillon #medico #neetpg"
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How we approach a difficult foley: 1. First if we feel that the resistance is at that prostate we try a coude thet has an “elbow” to it at the end which helps guide the catheter beyond the prostate 2. If that doesnt work either the prostate is just finicky or there may actually be a stricture. So we bring a soft wire and a council tip catheter which has a hole at the end to guide it over the wire. Wires are sneaky and find the bladder usually. 3. If that doesnt work, we need to use cystoscopy to
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