Trial without catheter
(TWOC)
Department of Urology
2
Patient Information
What
is trial
without
catheter?
What
is trial
without
catheter?
Trial without catheter is when a catheter which has been
inserted previously into your bladder via the urethra or abdomen
is removed for a trial period to determine whether you are able
to pass sufficient urine spontaneously as before. The urethra
is the tube from your bladder through which urine drains.
The catheter is held in the bladder with a balloon which
is deflated prior to removal.
What
happens
onceonce
the catheter
is removed?
What
happens
the catheter
is removed?
Once the catheter comes out you will be asked to drink plenty
of fluids approximately about a glass every 30-45 minutes.
You will be asked to stay in the clinic so that you can be monitored.
How
long
willwill
I have
to stay?
How
long
I have
to stay?
You will be asked to stay until you have passed urine
satisfactorily. Your urine will be measured each time you void
and a bladder scan will be performed after your third void to
determine the volume of urine remaining in your bladder.
The scan may be performed earlier if you are in any discomfort
or you have not voided any urine for 4-6 hrs.
Your urine will be tested for infection.
2
What
happens
afterafter
the scan?
What
happens
the scan?
You may be able to go home if you have passed urine satisfactorily
and the residual volumes in your bladder are minimal.
You might need repeated scans if the residual volumes are not
satisfactory.
What
happens
if I cannot
pass urine
I am passing
small
What
happens
if I cannot
passorurine
or I amonly
passing
amounts?
only small amounts?
You will either need a catheter back in or you may be taught
intermittent self catheterisation.
If you have a catheter back in then you will need to have it
changed every 10-12 weeks or you may even require another
trial without catheter.
You will also be referred to Home Delivery Company for delivery
of catheter products to your home address.
2
3
Useful
Telephone
Numbers
Useful
Telephone
Numbers
The Princess Royal Hospital
Ansty ward 01444 441881Ext. 8240/8241
The Urology Nursing Team 01444 441881 Ext. 5457
Urology Consultants:
Mr Nawrocki’s secretary
Mr Coker’s secretary Mr Symes’ secretary Mr Thomas’ secretary Mr Larner’s secretary 01444 441881 Ext. 5962
01444 441881 Ext. 8043
01273 696955 Ext. 7809
01273 696955 Ext. 7810
01273 696955 Ext. 7808
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interpreter
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member ofinstaff
If you
require or
this
a language other than English please inform
your interpreter
a member
If you requireorthis
documentofinstaff.
a language other than English please inform your
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member
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If you
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inform ‫ﺩﺭ‬
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© Brighton and Sussex University Hospitals NHS Trust
Disclaimer
The information in this leaflet is for guidance purposes only
and is in no way intended to replace professional clinical advice
by a qualified practitioner.
Ref number: 462.2
Publication Date: July 2015
Review Date: July 2017