title: A peel away sheath endoscopic technique for difficult pediatric urethral intubation problems.
abstract: OBJECTIVE
  We describe a useful technique for overcoming difficult pediatric urethral intubation problems.
  
  
  METHODS
  An 8F pediatric urethroscope is passed through a peel away sheath, advanced through the urethra into the bladder and removed. An 8F urethral catheter is passed, the balloon is inflated and the peel away sheath is removed.
  
  
  RESULTS
  This procedure has been performed in 6 children with difficult urethral problems without complication and with universal success.
  
  
  CONCLUSIONS
  The peel away sheath technique offers a more reliable and less traumatic mechanism for difficult infant urethral intubation.
authors.affiliation: Division of Pediatric Urology, Children's Hospital Medical Center, Cincinnati, Ohio, USA.
authors.forename: C A
authors.initials: CA
authors.lastname: Sheldon
authors.forename: E
authors.initials: E
authors.lastname: Minevich
authors.forename: J
authors.initials: J
authors.lastname: Wacksman
mesh_terms: D002648:Child; D020684:Cystoscopes; D004867:Equipment Design; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007440:Intubation / Q000295:instrumentation*; D008297:Male; D014521:Urethra