Catheterization of Atypical Urinary Reservoirs and Clot Evacuation

Alterations in typical urinary drainage is necessary in urologic oncological cases or scenarios where patients previously had a non-/dysfunctional urologic tract. This necessity will likely then result in atypical urinary reservoirs being prevalent in the intensive care unit where patients may be recovering immediately post-op from reconstruction/urinary diversion surgery or from another severe morbidity. This chapter seeks to educate the intensivist clinician on these alternative reservoirs and the common problems of gross hematuria. Bleeding can occur anywhere along the urologic tract, from the kidneys to the urethra, and can result in either significant anemia or urinary obstruction. Gross hematuria is likely secondary to either malignancy, trauma, or infection. Identifying and treating the specific cause of gross hematuria is the job of the intensivist clinician.