Spontaneous intravesical knotting of urethral catheter

Yogesh Kumar Sarin1

  • 1Department of Pediatric Surgery, Maulana Azad Medical College, New Delhi-110002.

Insights

Infant feeding tubes (IFT) are commonly used as urethral catheters in children. A rare but serious complication is spontaneous knotting within the bladder, as seen in three pediatric cases.

Area of Science:

  • Pediatric Urology
  • Medical Device Complications
  • Neonatal Care

Background:

  • Infant feeding tubes (IFT) are frequently employed as urethral catheters in neonates and pediatric patients.
  • This practice has been standard for decades, generally considered safe for urinary catheterization.

Observation:

  • A significant, though uncommon, morbidity associated with IFT use is spontaneous knotting within the urinary bladder.
  • This case series details three instances of this complication.

Findings:

  • The study reports three pediatric cases where infant feeding tubes spontaneously knotted inside the bladder.
  • The affected patients included a neonate and two older children, highlighting the potential risk across different pediatric age groups.

Implications:

  • This complication, while rare, underscores the need for vigilance during and after the use of IFT as urethral catheters in children.
  • Awareness among healthcare providers is crucial for prompt diagnosis and management of such events to prevent potential harm.

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