Flexible cystoscope: a useful aid to difficult male catheterization
JSP-Journal of Surgery Pakistan International. 2007; 12 (4): 170-173
in English
| IMEMR
| ID: emr-83972
ABSTRACT
To assess usefulness of flexible cystoscope in difficult male urethral catheterization. Fauji Foundation Hospital and Maryam Memorial Hospital, Rawalpindi during a period of four years. In a consecutive series of thirty patients with acute urinary retention and initial difficulty in urethral catheterization, a flexible cystoscope and a guide wire was used to insert the Foley's catheter. Ten patients [33.3%] presented with acute urinary retention due to benign enlargement of prostate. Five patients [16.6%] required re-catheterization following unsuccessful trial after transurethral resection of prostate. Four patients [13.3%] had carcinoma of prostate. This technique was used five times [16%] to catheterize prior to intravesical instillation of cytotoxic drugs. Two patients [6.6%] had bladder neck distortion due to transitional cell carcinoma of bladder, one [3.3%] had an extravesical haematoma and another one [3.3%] had massive post traumatic clot retention. The procedure was successful in 86.7% of the cases. Difficulty to negotiate the urethra was faced in cases of urethral strictures [6.6%]. Flexible cystoscope is a safe, quick and effective method for difficult urethral catheterization in male patients
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Urinary Retention
/
Cystoscopes
Limits:
Humans
/
Male
Language:
English
Journal:
J. Surg. Pak. Int.
Year:
2007
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