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Endoscopic removal of knotted urethral catheter: a point of technique

P N Dogra1, G Nabi, R Goel

  • 1Department of Urology, All India Institute of Medical Sciences, New Delhi, India. dograpn@hotmail.com

Urologia Internationalis
|July 8, 2003
PubMed

Insights

Urethral catheter knotting is a rare complication during clean intermittent self-catheterization. This report details a novel endoscopic technique for retrieving a knotted feeding tube in a pediatric patient.

Area of Science:

  • Urology
  • Pediatric Surgery

Background:

  • Clean intermittent self-catheterization (CISC) is a common procedure for managing urinary retention.
  • Complications, though rare, can occur, necessitating advanced management strategies.

Observation:

  • A 12-year-old child presented with a retained, knotted feeding tube following CISC.
  • The knotting of the urethral catheter presented a unique clinical challenge.

Findings:

  • Endoscopic retrieval of the knotted feeding tube was successfully performed.
  • A novel, minimally invasive technique for endoscopic retrieval was employed and is described.
  • Factors contributing to the rare complication of catheter knotting were analyzed.

Implications:

  • This case highlights the importance of recognizing and managing rare catheter-related complications.
  • The described endoscopic technique offers a minimally invasive solution for similar future cases.
  • Further research into preventing catheter knotting during CISC may be warranted.

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