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Encrusted and incarcerated urinary bladder catheter: what are the options?

Ho CC, Khandasamy Y, Singam P, Hong Goh E, Zainuddin ZM - Libyan J Med (2010)

Bottom Line: Urinary bladder catheter encrustations are known complications of long-term urinary catheterisation, which is commonly seen in clinical practice.The options in managing an encrusted and incarcerated urinary bladder catheter include extracorporeal shock wave lithotripsy and lithoclast.We describe here another technique of dealing with a stuck and encrustated catheter, via direct crushing of the encrustations with a rigid cystoscope inserted through a suprapubic cystostomy tract.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, Bandar Tun Razak, Kuala Lumpur, Malaysia.

ABSTRACT
Urinary bladder catheter encrustations are known complications of long-term urinary catheterisation, which is commonly seen in clinical practice. These encrustations can impede deflation of the balloon and therefore cause problems in the removal of the catheter. The options in managing an encrusted and incarcerated urinary bladder catheter include extracorporeal shock wave lithotripsy and lithoclast. We describe here another technique of dealing with a stuck and encrustated catheter, via direct crushing of the encrustations with a rigid cystoscope inserted through a suprapubic cystostomy tract.

No MeSH data available.


Related in: MedlinePlus

The catheter tip after removal. The residual encrustations can still be seen at the balloon (arrow).
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Figure 0003: The catheter tip after removal. The residual encrustations can still be seen at the balloon (arrow).

Mentions: After 2 weeks, a guide wire was inserted through the suprapubic catheter into the bladder. The tract was then dilated with dilators from the percutaneous lithotomy set, till it reached size 24 F. A size 22 F rigid cystoscope was then introduced into the bladder with the guide wire in place (Fig. 1). A stone crushing forceps was introduced and the encrustations were successfully removed (Fig. 2). The balloon was deflated and the catheter was removed via the urethra (Fig. 3). The patient made an uneventful recovery and was discharged the following day with a date given for TURP.


Encrusted and incarcerated urinary bladder catheter: what are the options?

Ho CC, Khandasamy Y, Singam P, Hong Goh E, Zainuddin ZM - Libyan J Med (2010)

The catheter tip after removal. The residual encrustations can still be seen at the balloon (arrow).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3066753&req=5

Figure 0003: The catheter tip after removal. The residual encrustations can still be seen at the balloon (arrow).
Mentions: After 2 weeks, a guide wire was inserted through the suprapubic catheter into the bladder. The tract was then dilated with dilators from the percutaneous lithotomy set, till it reached size 24 F. A size 22 F rigid cystoscope was then introduced into the bladder with the guide wire in place (Fig. 1). A stone crushing forceps was introduced and the encrustations were successfully removed (Fig. 2). The balloon was deflated and the catheter was removed via the urethra (Fig. 3). The patient made an uneventful recovery and was discharged the following day with a date given for TURP.

Bottom Line: Urinary bladder catheter encrustations are known complications of long-term urinary catheterisation, which is commonly seen in clinical practice.The options in managing an encrusted and incarcerated urinary bladder catheter include extracorporeal shock wave lithotripsy and lithoclast.We describe here another technique of dealing with a stuck and encrustated catheter, via direct crushing of the encrustations with a rigid cystoscope inserted through a suprapubic cystostomy tract.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, Bandar Tun Razak, Kuala Lumpur, Malaysia.

ABSTRACT
Urinary bladder catheter encrustations are known complications of long-term urinary catheterisation, which is commonly seen in clinical practice. These encrustations can impede deflation of the balloon and therefore cause problems in the removal of the catheter. The options in managing an encrusted and incarcerated urinary bladder catheter include extracorporeal shock wave lithotripsy and lithoclast. We describe here another technique of dealing with a stuck and encrustated catheter, via direct crushing of the encrustations with a rigid cystoscope inserted through a suprapubic cystostomy tract.

No MeSH data available.


Related in: MedlinePlus