A peel away sheath endoscopic technique for difficult pediatric urethral intubation problems.
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.
Sheldon
C A
CA
Division of Pediatric Urology, Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Minevich
E
E
Wacksman
J
J
D002648:Child; D020684:Cystoscopes; D004867:Equipment Design; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007440:Intubation / Q000295:instrumentation*; D008297:Male; D014521:Urethra