Are you talking about using US for the placement of urinary catheters??

If one uses the correct technique there should be no complications. The use of ultrasound for such a simple procedure is not necessary and would be a waste of time and money.

we have had access to an ultrasound for about 10 years. i just found out they cost 15K WOW! well anyways

i find using the ultrasound a very hand device and certainly helpful when determining the appropriate timing for a st cath or a foley.

ok here goes .............

i work on a post op floor we d/c foleys on many of our pt on first day post op. some patients immed go into retention this is demonstrated by several voids of 100ml or less sometimes more. after void we scan bladder and if we find after several bouts of 100ml voids the patient is holding over 400 ml we will then straight cath the pt. this process is repeated again  in 6-8 hours and if the pt still has retention ...meaning over 400ml of urine after a void then we will replace the foley for 24 hours and remove it . Once a bladder goes into retention it is very difficult to convince it to do its job normally unless it is given complete rest for 24hours,  i have found that the greater the retention ie  800 -1000ml in bladder causes the most problems with further retention issues.

another instance where we use the scanner is on our prostate patients the TURPS and the radicals and many of the female urological surgeries as well. the urologists often want post void residuals recorded as this will give them valuable information with regards to the patients need for post op antibiotics and or the need for meds such as flomax or ditropan and or the need for repeat procedures. i hope this does answer some questions .

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