Inserting a urinary catheter in transgender men following penile reconstruction is difficult and usually requires specialist input. Specialist input may not always be readily available and clinicians may resort to suprapubic catheterisation with the associated risk of injury to the bowel or blood vessels. There is a need for an evidence-based protocol to guide clinicians faced with having to catheterise one of these patients. We will evaluate how successful a specialised catheter (Urethrotech UCD®) is compared with a standard Foley catheter for catheterisation of these patients.

Urinary catheters are placed most frequently in Emergency Rooms. When difficult catheterisation is encountered, lack of immediate specialist services can transform a simple procedure into a stressful emergency. Repeated attempts can lead to urethral injury with the risk of severe bleeding and urinary sepsis. We evaluate a new catheterisation algorithm in the acute care setting which provides frontline healthcare professionals with a purpose-designed Plan-B catheter with integrated guidewire to solve a difficult catheterisation episodes in a rational and cost-effective way to improve patient care.