What is your approach to foley catheter placement and duration in a patient with a prostatic abscess that is being managed with either aspiration, unroofing, or antibiotics alone?

My approach is to treat the Foley as bladder drainage, not as treatment for the abscess. Catheter use should be driven by degree of retention, bladder emptying, bleeding, and the extent of transurethral manipulation. There are no standardized catheter duration guidelines for prostatic abscess, so pr...

Depending on many factors

1. Comorbid conditions
2. Sepsis vs no sepsis
3. Was the patient in urine retention prior to surgery?
4. How big is the prostate?
5. How extensive was the resection?

Most of the time, 3-7 days of a Foley catheter is more than enough