Patient History Questions for Urinary Catheterization
1) Have you ever had a urinary catheter placed? YES NO
If YES, answer the following:
Was there any difficulty in placing the catheter? YES NO
If YES, what issues were encountered?
2) Have you had any of the following surgeries?
Prostate surgery YES NO
Bladder surgery YES NO
Lower urinary tract surgery YES NO
3) Do you have any of the following conditions?
Stricture disease YES NO
Acute urinary retention YES NO
Enlarged prostate YES NO
4) Are you on an anticoagulation therapy (blood thinners)? YES NO
If the patient answers “YES” to any of these questions,
use DirectVision® for the initial insertion