New endourologic technique for catheter placement after TURP, prostatectomy, and difficult urethroscopy.
Inserting a Foley catheter into a traumatized urethra with false channels or a post-transurethral resection of prostate (TURP) undermined bladder neck can be very difficult if not impossible at times. Likewise, replacing a Foley catheter that has fallen out in the early postoperative period after a radical prostatectomy can be difficult and can cause significant injury to the fresh anastomosis. We describe a technique using a Peel-Away sheath that fits over a cystoscope or a resectoscope, and facilitates accurate insertion of a Foley catheter without trauma to the urethra.
Lowe
M A
MA
Department of Urology, University of Washington, Seattle.
Defalco
A J
AJ
D003558:Cystoscopy; D006801:Humans; D008297:Male; D011182:Postoperative Care; D011468:Prostatectomy; D014521:Urethra / Q000293:injuries; D001743:Urinary Bladder; D014546:Urinary Catheterization / Q000295:instrumentation / Q000379:methods*