Abstracts from the Abstracts from the Mid-Atlantic Section of the AUA 2021

MA-AUA 2021 Abstracts Moderated Poster Session 5: Surgical Technology/Imaging Difficult Foley? A Look into Difficult Foley Consults K. Mitchell, A. Elbakry, C. Patton, C. Crigger, J. Barnard, C. Morley West Virginia University, Morgantown, WV, USA Introduction and Objective: While urethral catheters are usually placed without issue, many factors canmake placement challenging. We are aiming to further understand reasons for difficulty and the role of urology consultation. Methods: This is a prospective study that was conducted at a tertiary care hospital from April 2018 through March 2020. We prospectively collected data on multiple parameters including patient demographics, reason for consultation determined by consulting service, consulting service, whether the patient was ICU status, and the level of, and reason for difficulty determined by the urology team. Patients were divided into two groups according to level of difficulty. Results: Most consultations were male patients (88.1%). The most common reason for consultation per consulting team was inability to advance at a level of the prostate (49.5%). Advanced interventions for foley placement which were investigated included guidewire, dilation, and cystoscopy- of these the most commonly utilized was guidewire, used in 36.6% of cases. The most common reason for difficult placement, as determined by the urologist, was inadequate technique (26.7%). The level of difficulty was determined by set criteria of interventions employed by the urologist- the most commonly ascribed was level 3 (23.8%). Most common reason for consultation in the non-difficult group was resistance at the prostate, while the most common reason for difficulty was inadequate technique. Conclusions: Our study provides an understanding of reasons for consultations regarding foley placement and different levels and reasons for difficulty, which can help optimize and improve the process of foley placement in the hospital setting. MP5-06 35