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If the surgeon wants to assess the patient's ability to void vvoluntarily via the urethra, yet sees the need for urinary drainage, he could use

A. Bonanno suprapubic catheter
B. Foley catheter
C. Urethral stent
D. Perineal urethrostomy

1 Answer

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Final answer:

A Foley catheter would be suitable for assessing a patient's ability to void urine voluntarily through the urethra while providing urinary drainage. Other options like a Bonanno suprapubic catheter, urethral stent, or perineal urethrostomy serve different purposes and would not assess voluntary urination via the urethra.

Step-by-step explanation:

If a surgeon wants to assess a patient's ability to void urine voluntarily through the urethra while still seeing the need for urinary drainage, the use of a Foley catheter would be appropriate. The Foley catheter is a type of indwelling catheter placed through the urethral passage into the bladder and can have a balloon inflated to keep it in place. This allows for urinary drainage while still permitting the patient to exercise control over the external urethral sphincter, which governs voluntary voiding. This is crucial for assessing the patient's voluntary voiding ability in a case where continuous draining of the bladder is necessary.

A Bonanno suprapubic catheter, on the other hand, would not assess the ability to voluntarily void through the urethra, as it bypasses the urethral passage altogether by providing a direct means of urinary drainage through the abdominal wall into the bladder. A urethral stent is generally used to ensure patency of the urethra in cases of obstruction and does not facilitate urinary drainage in the means a catheter does. Lastly, a perineal urethrostomy creates a permanent external opening for urine to exit the body other than through the urethral passage and would not be suitable for this purpose.

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