A 60-year-old male with poor stream of urine, post void residual urine is 400 mL, bilateral hydronephrosis and prostate weighing 70 g. His urea is 120 and creatinine 3.5. Ideal "next immediate" step:
Ans. (a) Catheterize with Foley catheterCauses of bilateral hydronephrosis:* Posterior urethral valves* Urethral atresia* BPH/ cancer prostate* Bladder neck stricture* Urethral stricture* PhimosisThe immediate next step in those cases is to put a Foley's catheter if possible.
Catheterize with Foley catheter
Bilateral PC nephrostomies
CT to rule out carcinoma
MRI pelvis
Kidney & Ureturs