Change of indwelling urethral catheter | Yes / No |
Improperly inserted urethral catheter | Yes / No |
Catheter blockage or partial blockage of catheter | Yes / No |
Flushing of catheter to relieve obstruction | Yes / No |
Bladder stone | Yes / No |
Kidney stone | Yes / No |
Ureteric stone | Yes / No |
Distension of urinary bladder e.g. drinking lot of fluids e.g. alcoholic beverages and failure to perform catheterisation (in those who do intermittent catheterisation) | Yes / No |
Failure to use a sterile catheter for intermittent catheterisation | Yes / No |
Unhygienic toilet conditions for performing intermittent catheterisation | Yes / No |
Unsatisfactory administration of bladder wash-outs | Yes / No |
Decrease in fluid intake | Yes / No |
Sexual activity which involved removal of urethral catheter prior to the sexual act, and insertion of a new catheter per urethra by the partner after completing sexual intercourse | Yes / No |
Failure to change the leg bag as per schedule | Yes / No |
Failure to change penile sheath daily | Yes / No |