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British Association of Urological Surgeons (BAUS) and Nurses (BAUN) consensus document: management of the complications of long-term indwelling catheters

Lookup NU author(s): Professor Christopher HardingORCiD



This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND).


© 2021 The Authors BJU International published by John Wiley & Sons Ltd on behalf of BJU InternationalObjective: To look at best evidence and expert opinion to provide advice in the form of a consensus statement lead by Female, Neurological and Urodynamic Urology (FNUU) section of the British Association of Urological Surgeons (BAUS) in conjunction with the British Association of Urological Nurses (BAUN). Methods: Initially a literature search was performed with incorporation of aspects of the existing guidance and further informed by UK best practice by core members of the group. The document then underwent reviews by the FNUU Executive Committee members, the BAUN executive committee, a separate experienced urologist and presented at the BAUS annual meeting 2020 to ensure wider feedback was incorporated in the document. Results: Complications of long-term indwelling catheters include catheter-associated urinary tract infections (CAUTI), purple urine bag syndrome, catheter blockages, bladder spasms (causing pain and urinary leakage), loss of bladder capacity, urethral erosion (“catheter hypospadias”)/dilatation of bladder outlet and chronic inflammation (metaplasia and cancer risk). Conclusions: We have provided a list of recommendations and a troubleshooting table to help with the management of the complications of long term catheters.

Publication metadata

Author(s): Reid S, Brocksom J, Hamid R, Ali A, Thiruchelvam N, Sahai A, Harding C, Biers S, Belal M, Barrett R, Taylor J, Parkinson R

Publication type: Review

Publication status: Published

Journal: BJU International

Year: 2021

Volume: 128

Issue: 6

Pages: 667-677

Print publication date: 01/12/2021

Online publication date: 03/04/2021

Acceptance date: 02/04/2018

ISSN (print): 1464-4096

ISSN (electronic): 1464-410X

Publisher: Blackwell Publishing Ltd


DOI: 10.1111/bju.15406

PubMed id: 33811741