To completely empty the bladder when using a conventional 2-eyelet catheter, repositioning of the catheter may be needed. However, there is a risk of bladder microtrauma when repositioning the catheter.1 Both residual urine due to incomplete bladder emptying and microtrauma constitute risks for UTI development.2

Flow stops make complete bladder emptying uncertain and complex:

  • Uncertain as flow stops give a false indication of an emptied bladder
  • Complex because the user needs to reposition the catheter1

The importance of repositioning is also underlined in the EAUN clinical guidance.4

"When urine flow stops, withdraw the catheter very slowly, in centimeter steps. If the urine flow starts again during withdrawal, discontinue withdrawal and wait for the flow to stop before resuming catheter withdrawal"

What are flow stops and how do they occur?

Draining of urine during catheterization creates negative pressure inside the catheter. This causes the bladder mucosa to get sucked into the eyelets of the catheter, blocking them, leading to a urine flow stop.1

Repositioning of the catheter helps to release the mucosa and continue the draining of urine. Mucosal suction can cause microtrauma to the bladder wall and compromise the protective layer of the epithelial cells.1 A compromised bladder wall would give easier access for bacteria thus increasing the risk of UTIs.5,6

"If I were to say which part of catheterizing is the most irritating, if I had to point at one thing, it would be adjusting the catheter to get the last out. Not because it takes up much of my daily life, but it’s definitely where I can see potential daily life improvement."

- Kjell | IC User

Prior to use, refer to product labeling for complete product instructions for use, contraindications, warnings and precautions.

Luja Coudé is indicated for use by patients with urine retention and patients with a post void residual volume (PVR) due to neurogenic and non-neurogenic voiding dysfunction. The catheter is inserted into the urethra to reach the bladder allowing urine to drain. The product is for adult male patients only. Apply with caution if the patient produces urine with many particles clearly distinguishable by the naked eye, as it may lead to transient urine retention.  See the device manual for detailed information regarding the implant procedure, contraindications, warnings, precautions, and potential complications/adverse events. For further information, call Coloplast Corp. at 1-866-226-6362 and/or consult the company website at www.coloplast.us. Rx Only.