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A peel away sheath endoscopic technique for difficult pediatric urethral intubation problems
C A Sheldon1, E Minevich, J Wacksman
1Division of Pediatric Urology, Children's Hospital Medical Center, Cincinnati, Ohio, USA.
The Journal of Urology
|May 1, 1997
Summary
A novel peel-away sheath technique simplifies difficult pediatric urethral intubation. This method proved safe and effective in six children, offering a less traumatic approach for infant urethral catheterization.
Area of Science:
- Pediatric Urology
- Surgical Techniques
- Medical Devices
Background:
- Pediatric urethral intubation can be challenging.
- Difficulties may arise due to anatomical variations or previous interventions.
Purpose of the Study:
- To present an effective technique for managing difficult pediatric urethral intubation.
- To introduce a novel application of a peel-away sheath in pediatric urology.
Main Methods:
- An 8F pediatric urethroscope was inserted through a peel-away sheath into the bladder.
- The urethroscope was removed, followed by insertion of an 8F urethral catheter.
- The catheter balloon was inflated, and the peel-away sheath was then removed.
Main Results:
- The technique was successfully applied in 6 pediatric patients with challenging urethral intubation.
- No complications were reported during or after the procedure.
- Universal success was achieved in all cases.
Conclusions:
- The peel-away sheath technique provides a reliable method for difficult pediatric urethral intubation.
- This approach is less traumatic compared to conventional methods.
- It offers a valuable solution for challenging infant urethral catheterization procedures.