Acute urinary retention after pelvic-floor repair — emergency management station

Station brief

Format. Emergency management station, approximately 12 minutes. You are the on-call gynaecology registrar. The district nurse rings you about a postoperative pelvic-floor-repair patient with acute urinary retention. The consultant will be available by phone within 10 minutes. The assessor will feed you new observations and ask you to verbalise your management plan, your differential, your plan for trial without catheter and sling release, and your teaching of clean intermittent self-catheterisation.^[1]

Candidate instruction. Manage the patient from the phone call onwards. Verbalise your reasoning, your drug orders with doses, your plan for the bladder, your thresholds for the trial without catheter, and your communication with the patient and her consultant. ^[1][2]