Catheterisation should not be done in case of acute retention of urine due to –
## **Core Concept**
Acute retention of urine can result from various causes, including obstruction, neurogenic bladder, or certain medications. The management of acute retention involves catheterization to relieve the obstruction and assess the post-void residual volume. However, there are specific scenarios where catheterization should be approached with caution or avoided.
## **Why the Correct Answer is Right**
The correct answer involves a condition where catheterization could lead to severe complications. In the case of **stricture urethra**, inserting a catheter can exacerbate the condition, leading to further damage to the urethra, including potential perforation or false passage creation. This is because the urethral lumen is narrowed, making it difficult to pass the catheter safely.
## **Why Each Wrong Option is Incorrect**
- **Option A:** This option is not specified, but generally, conditions like urinary tract infections (UTIs) or certain types of stones might not be absolute contraindications for catheterization, especially if the catheterization is necessary for management.
- **Option B:** Similarly, this option is unspecified, but conditions such as benign prostatic hyperplasia (BPH) might require catheterization for management of acute retention.
- **Option C:** Without specifics, it's hard to address, but certain conditions might not preclude catheterization entirely.
## **Clinical Pearl / High-Yield Fact**
A key clinical pearl is that in cases of suspected urethral stricture, imaging studies like retrograde urethrography should be performed before attempting catheterization to assess the urethral lumen and guide safe catheter placement.
## **Correct Answer:** . **Stricture urethra**