Urgent management for acute urinary retention and catheter removal.
Unless contraindicated, all patients are started on alpha-blockers to relax the prostate and improve the success of catheter removal.
A "Trial Without Catheter" (TWOC) is performed in a safe, monitored environment to see if the patient can void on their own.
If retention persists, we offer surgical solutions including Traditional TURP, Greenlight Laser Photoselective Vaporization (we are a high-volume Greenlight center), and Rezum Water Vapor Therapy for select cases.
Living with a catheter is uncomfortable and carries a risk of infection. We aim to get you catheter-free as soon as possible.
We perform a Trial of Void (TOV) to attempt removal. Success depends on many factors. We cannot guarantee you will leave catheter-free, but we will have a plan in place if retention persists.
If you cannot urinate, the catheter must be replaced to protect your kidneys. We will then discuss surgical options (TURP, Greenlight, or Rezum) or teach you Clean Intermittent Catheterization (CIC) for better independence.
Physician Referral Required. Indications: Acute Urinary Retention (AUR) or failed previous Trial of Void.