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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...

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Related Experiment Video

Updated: Jul 16, 2026

Removal of an Intravesical Gellhorn Pessary and Staged Repair of a Residual Large Vesico-Vaginal Fistula
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Published on: April 14, 2026

Interventional Radiology-Guided Foley Catheterization for Pelvic Fracture with Urethral Injury: A Single-Center

Hong Chung1, Min Ho Park2, Euichul Jung2

  • 1Department of Urology, Yonsei University Wonju College of Medicine, Wonju 26426, Republic of Korea.

Journal of Clinical Medicine
|July 15, 2026
PubMed
Summary

Percutaneous cystostomy with anterograde Foley catheter insertion is a viable alternative for male trauma patients with pelvic fracture with urethral injury (PFUI) when standard catheterization fails. This interventional radiology technique can help avoid further injury in critical cases.

Keywords:
foley catheterizationpelvic fracturetraumaurethral injury

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Area of Science:

  • Urology
  • Trauma Surgery
  • Interventional Radiology

Background:

  • Male trauma patients with suspected pelvic fracture with urethral injury (PFUI) risk further damage from repeated catheterization attempts.
  • Standard Foley catheterization can be challenging in cases of PFUI.

Purpose of the Study:

  • To analyze the characteristics and clinical course of male trauma patients undergoing simultaneous percutaneous cystostomy and anterograde Foley catheter insertion.
  • To evaluate this interventional radiology technique as an alternative to conventional methods for PFUI.

Main Methods:

  • Retrospective analysis of male trauma patients between January 2021 and December 2025 with suspected PFUI.
  • Inclusion criteria: failed standard Foley catheterization, pelvic fracture, and subsequent interventional procedure.
  • Data collected included demographics, injury details, procedure timing, and outcomes.

Main Results:

  • 11 patients underwent the procedure (mean age 57.8 years, ISS 20.2).
  • Pelvic crushing was the most common mechanism; pelvic angiography was used in 81.8%.
  • Mean time to interventional catheterization was 283 minutes; 3 patients required later urethral stricture treatment.

Conclusions:

  • Foley catheter insertion via interventional radiology is a potential alternative for hemodynamically unstable PFUI patients with difficult initial catheterization.
  • This method may offer an alternative to primary endoscopic realignment and suprapubic cystostomy.