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A simple and effective method for bladder blood clot evacuation using hydrogen peroxide.

Ming Xu1, Lu Jin1, Yuxi Shan1

  • 1Department of Urology, the Second Affiliated Hospital of Soochow University, Suzhou, China.

The Journal of International Medical Research
|May 22, 2020
PubMed
Summary

Hydrogen peroxide effectively removes bladder blood clots, offering a simple solution for urinary retention. This method improved clot evacuation in most patients, reducing the need for surgery.

Keywords:
Foley catheterHydrogen peroxidebladder irrigationclot evacuationclot retentionhematuria

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Area of Science:

  • Urology
  • Medical Devices

Background:

  • Urinary retention due to bladder clots presents a significant clinical challenge due to difficulties in clot removal.
  • Existing methods for bladder clot evacuation can be invasive or inefficient.

Purpose of the Study:

  • To evaluate the efficacy of hydrogen peroxide solution for manual bladder irrigation in evacuating bladder blood clots.
  • To establish a novel, less invasive technique for managing clot retention.

Main Methods:

  • A retrospective study involving 31 patients with bladder clot retention.
  • Utilized hydrogen peroxide solution for manual bladder irrigation via a 20-Fr three-cavity Foley catheter.

Main Results:

  • Successful bladder blood clot removal was achieved in 27 out of 31 patients (87%).
  • Four patients (13%) required surgical intervention due to persistent urinary retention symptoms.
  • The procedure was found to be simple and effective in the majority of cases.

Conclusions:

  • Hydrogen peroxide irrigation is an effective and simple method for improving bladder blood clot evacuation.
  • This technique offers a valuable option for managing patients experiencing bladder clot retention.