A 75yo alcoholic presents with a mass up to umbilicus, urinary dribbling, incontinence,

A 75yo alcoholic presents with a mass up to umbilicus, urinary dribbling, incontinence, and
clothes smelling of ammonia. What is the next step in management?
a. Urethral catheter
b. Suprapubic catheter
c. Antibiotics
d. Condom catheter
e. Nephrostomy

Q. 1. What is the key?
Q. 2. What is the cause of this retention?

Ans. 1. The key is A. Urethral catheter.
Ans. 2. Alcohol consumption [Alcoholism can cause urinary retention but it is a less common cause of
retention].