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The rectal tube: an excellent catheter for severe clot retention
1Department of Urology, SUNY Health Science Center at Brooklyn, The Brooklyn Hospital Center, New York, USA.
Purpose:
We describe the use of an alternative catheter for clot irrigation.
Materials And Methods:
Six patients with severe clot retention that could not be treated successfully with irrigation using large bore urethral catheters were subsequently treated with a fenestrated 28 to 32F Rusch red rubber rectal catheter.
Results:
All clots were successfully evacuated. Cystoscopic evaluation the following day in 4 patients with hematuria confirmed the absence of clots. The other 2 patients did not undergo cystoscopy but continuous bladder irrigation was completely clear for the next 24 hours and the catheters were removed without further sequelae.
Conclusions:
Irrigation through a rectal tube can provide immediate relief of clot retention and consequently avoid emergency endoscopic intervention in the operating room.