Guidewire-First Rescue Versus Direct Suprapubic Cystostomy After Failed Urethral Catheterisation: A Propensity-Weighted Cohort Study

Background/Objectives: When urethral catheterisation fails in acute urinary retention, clinicians may pass a guidewire or go directly to suprapubic cystostomy. No published series compares the two after a failed attempt, and comparative trials enrol men in whom either route remains available. We compared the two.

Methods