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Would you recommend temporary urinary catheter placement for a patient with recurrent nephrolithiasis who is unable to adequately complete a 24 hour urine study due to incontinence?
3 Answers
Mednet Member
Nephrology · Mayo Clinic
A practical question! My answer is nuanced. If serial imaging, preferably CT, shows an increase in stone volume on their current treatment program (metabolic stone activity), yes. I think the benefit of controlling their stone formation outweighs the risks and inconvenience of a urinary catheter. I ...
Mednet Member
Nephrology · University of Chicago Medicine
In practice, I leave this decision to the urologist attending the patient. I never independently make this recommendation.
Mednet Member
Nephrology · NYU Grossman School of Medicine
No, I would be concerned, even limiting to 24h, about CAUTI. I would measure spot urine calcium, oxalate, citrate if possible instead, or if necessary, treat empirically with fluids, dietary modification and citrate supplements.