CATCH-22: a manual bladder washout protocol to improve care for clot retention

Abstract

Purpose: To review current practices in manual bladder washouts (MBW) for haematuria with clot retention, comparing those conducted by a urology unit to other inpatient services. Secondly, to describe a standardised protocol for MBWs. Methods: Prospective data were collected for patients treated for clot retention, from initial management by referral units through to implementation of a standardised MBW by the urology service. Outcomes measured included re-catheterisation, MBW volumes, clot evacuated and time to discharge or subsequent intervention. Results: Initial catheters inserted by referral teams were sized 16 Fr–20 Fr, all except one requiring upsizing. Mean washout volumes of 145 ml ..