Intravesical knotting of guide wire during insertion of Foley catheter

Guide wires are frequently used in urology for upper and lower urinary tract procedures. Spontaneous knotting of guide wire is a rare complication and only a few cases have been reported in the literature until now. We report a case of spontaneous intravesical knotting of guide wire during per urethral catheterisation that led to retained Foley catheter. The balloon was punctured percutaneously under ultrasound guidance and the whole assembly was removed. Guide wire knot was found near the balloon. The cystoscopy showed normal urethra and bladder. The patient was recatheterised and is doing well.