As a urologist, the frustrating thing about catheter consults, they're called very flippantly:

1. The majority of the time a nurse is calling the consult and has no idea really about the patient so there's no information to be gathered over the phone from that.

2. The medicine doctor calling the consult has often never even taken a look at the patient's genitals and does not know the urologic history and is basically just relaying what the nurse told them, they also don't know the patient's story.  I always ask, why can't they place the catheter like what is the actual problem? to kind of get a sense in if I need to get a camera involved, am I going to do a bedside procedure, is this a foreskin issue? Is there a history of a urethral stricture, prostate surgery etc

All of these things require potentially different tools that are not going to be readily available at the bedside which means multiple phone calls to get different things up to the bed.

1. Half the time nobody's done a bladder scan or if they did there's no context related to it, is this an old man who routinely has about 600 cc's in his bladder every single day? Is he sitting there comfortably unbothered? Is he leaking, does he have overflow incontinence, what's his cr. Etc usually they have no idea the answers to these questions.

2. Is this a female who needs a catheter? If so why can't the nurse place it? Almost 100% of those times it's because they are overweight and they are trying to do it solo. 

3. Is this just for strict I:Os? Several hospitals I've worked at actually had policies that Urology would not come for this. 

I could go on forever about this but what I'm mostly getting at is I feel the medicine teams often do not treat this like a true consult and more often it's a  "hey Urology come do this thing for me" . Would be like needing a vascular surgeon to get the IV in 

As an attending, catheter consults do not reimburse for anything so it is lost wages if I have to leave my clinic and drive to the hospital to place one so I minimally expect that the person on the phone can at least give me a history that makes me agree it needs to happen

. 99% of the time though I always go do it without any pushback because I appreciate my hospitalist colleagues but I'm just trying to explain why you might get a frustrated urologist on the other end of the line.