Rocamed Urethral Device (RUD) and Urinary Retention in Males
Rocamed Urethral Device (RUD) and Urinary Retention in Males
Prospective non randomized study of the feasibility of the insertion of Rocamed urethral
 device by hand manipulation, i.e., without use of cystoscopy, sonography or fluoroscopy.
 Patients with an acute urinary retention treated by Foley catheterization in the Emergency
 department have a few days later a trial of Foley removal in the ambulatory unit of the
 Urology department. In case of failure of the Foley removal trial, i.e., recurrence of
 urinary retention, patients will be proposed either the insertion of a new Foley or insertion
 of the urethral device. After signature of an informed consent, insertion of the urethral
 device will be performed after instillation in the urethra of a local anesthetic gel. Device
 insertion success rate and complications will be studied. The device will be left in place
 for one month. Tolerance and complications during the month with the device in place will be
 studied. At one month the device will be removed: the ease of retrieval of the device and
 complications will be studied. Patient and doctor satisfaction with the urethral device will
 be compared to patient and doctor satisfaction with the Foley.
Inclusion Criteria:

 -  Male > 18 years old

 -  Acute retention treated by Foley

 -  Failure of Foley removal trial

 -  Clear urine

 -  No urinary infection

 -  Efficient striated sphincter

 Exclusion Criteria:

 -  Urethral stenosis

 -  Hematuria macroscopic

 -  Urinary infection

 -  Anticoagulant treatment

 -  Lidocaine allergy