Impact of eliminating urethral catheterization following ureterorenoscopic lithotripsy

We report a case of unilateral hydronephrosis following urethral catheterization in a patient with T6 complete paraplegia at the Physical Medicine and Rehabilitation Department in a tertiary care teaching hospital, India. Diagnosis was established by an abdominal ultrasound. The misplaced catheter tip was withdrawn from the ureteric orifice and hydronephrosis was resolved. Foley's catheterization, a widely practiced clinical procedure, is not without its attendant risks of an inadvertent placement in the ureter leading to transient hydronephrosis. Inadequate drainage through a catheter should thus alert one to this potentially hazardous complication that can be diagnosed by an early ultrasound. This complication can be avoided by gently tugging on the catheter after inflating the catheter bulb.

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A novel cannulation technique for difficult urethral catheterization

Archivio Italiano di Urologia e Andrologia ◽

10.4081/aiua.2016.1.60 ◽

2016 ◽

Vol 88 (1) ◽

pp. 60 ◽

Cited By ~ 1

Author(s):

Mehmet Kaynar ◽

Murat Akand ◽

Serdar Goktas

Keyword(s):

Guide Wire ◽

Foley Catheter ◽

Catheter Placement ◽

Direct Vision ◽

Intravenous Catheter ◽

Urethral Catheterization ◽

Side Hole ◽

Cannulation Technique ◽

Catheter Tip

Introduction: To propose a novel cannulation technique for difficult urethral catheterization procedures. Technique: The sheath tip of an intravenous catheter is cut off, replaced to the needle tip and pushed through the distal drainage side hole to Foley catheter tip, and finally withdrawn for cannulation. In situations making urethral catheterization difficult, a guide wire is placed under direct vision. The modified Foley catheter is slid successfully over the guide wire from its distal end throughout the urethral passage into the bladder. Results: The modified Foley catheter was used successfully in our clinic in cases requiring difficult urethral catheterization. Conclusions: This easy and rapid modification of a Foley catheter may minimize the potential complications of blind catheter placement in standard catheterization.

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URETHRAL CATHETERIZATION

The Professional Medical Journal ◽

10.29309/tpmj/2011.18.02.2061 ◽

2011 ◽

Vol 18 (02) ◽

pp. 246-250

Author(s):

SHAHID MEHMOOD ◽

KHALID FAROUK ◽

ZEESHAN QADEER ◽

Iram Batool Nadeem

Keyword(s):

Practical Knowledge ◽

Tertiary Care ◽

Senior Resident ◽

Teaching Hospitals ◽

Care Centre ◽

Tertiary Care Centre ◽

Urethral Catheterization ◽

Care Teaching ◽

Level Of Confidence ◽

Tertiary Care Centers

Objectives: (1) To assess the theoretical and practical knowledge of young doctors about urethral catheterization. (2) To evaluate the experience and level of confidence of young doctors regarding the urethral catheterization in various tertiary care centers of Rawalpindi and Islamabad. Period: Sep 2009 to Feb 2010. Setting: Tertiary Care Centre, Fauji Foundation Hospital, Rawalpindi. Subjects and methods: A questionnaire was distributed among 400 young doctors working as interns in various tertiary care teaching hospitals of Rawalpindi and Islamabad. We obtained the information about observation, assistance, performance and knowledge of young doctors about urethral catheterization. Results: Questionnaire was distributed to about 400 young doctors working as interns in different teaching hospitals of Rawalpindi and Islamabad. Among the 400 doctors, 20 (5%) doctors never observed the male urethral catheterization and 35 (8.75%) doctors never observed female urethral catheterization. While among these 400 doctors 159 (38.75%) doctors never assisted male urethral catheterization and 175 (43.75%) doctors never assisted female urethral catheterization. Moreover 205 (51.25%) doctors never performed the male urethral catheterization and 185 (46.25%) doctors never performed female urethral catheterization. Conclusions: Training of young doctors about UC is not adequate. There is a need to train the young interns properly on this aspect. A senior resident or registrar of department should demonstrate the procedure in front of young interns before they are allowed to practice and first few catheterizations should be supervised by senior residents. Other alternate is the use of manikens for training of house officers.

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