Patient selection: male with LUTS, especially with storage symptoms
Indications for a long-term indwelling urinary catheter:
(1)
Medical management has failed AND surgery is not appropriate (or refused).
(2) Intermittent self-catheterisation is not an appropriate solution.
(3) Leakage of urine is causing a problem (contaminates a skin wound, pressure ulcer, etc.)
(4) The patient is distressed by the need to change clothing and/or bedding.
The patient needs to be informed about the risks of an indwelling urinary catheter, including:
(1) the possibility of recurrent urinary tract infections
(2) the catheter may not completely solve urinary incontinence