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Spontaneous knotting of urinary catheters placed with nonindwelling intent: Case series and literature review
Urethral catheters are placed with nonindwelling intent chiefly for clean intermittent catheterization (CIC), imaging, or collection of a urine sample. Catheter knotting can be a troublesome complication, especially when it occurs in children often resulting in interventions under anesthesia in the...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6798299/ https://www.ncbi.nlm.nih.gov/pubmed/31649470 http://dx.doi.org/10.4103/UA.UA_15_19 |
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author | Singh, Vijay Pal Sinha, Sanjay |
author_facet | Singh, Vijay Pal Sinha, Sanjay |
author_sort | Singh, Vijay Pal |
collection | PubMed |
description | Urethral catheters are placed with nonindwelling intent chiefly for clean intermittent catheterization (CIC), imaging, or collection of a urine sample. Catheter knotting can be a troublesome complication, especially when it occurs in children often resulting in interventions under anesthesia in the operating room. Three children (4 years male, 4 years female, and 6 years male) presented with knotted feeding tubes placed for CIC. Details of these and an additional 31 patients are discussed in a short review. Knotting occurred almost exclusively in children (33/34, 97%), was more common in boys (22/34, 65%) and most often involved a feeding tube (27/34, 79%) with knotting in the bladder (28/34, 82%). Insertion length, caliber and stiffness of catheter, technique, and patient factors are important factors. Avoiding excessive insertion and use of an appropriate size of catheter (that is not too small) may reduce the risk. Manipulation alone (12/34, 35%), with guidewire (5/34, 15%), or with dilatation (3/34, 9%) is most often successful and is best accomplished under general anesthesia. Endourology (7/34, 21%), laparoscopy (1/34, 3%), or an incision (5/34, 15%) may be necessary in some patients. Safeguarding urethral integrity is the overarching concern. |
format | Online Article Text |
id | pubmed-6798299 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-67982992019-10-24 Spontaneous knotting of urinary catheters placed with nonindwelling intent: Case series and literature review Singh, Vijay Pal Sinha, Sanjay Urol Ann Case Report Urethral catheters are placed with nonindwelling intent chiefly for clean intermittent catheterization (CIC), imaging, or collection of a urine sample. Catheter knotting can be a troublesome complication, especially when it occurs in children often resulting in interventions under anesthesia in the operating room. Three children (4 years male, 4 years female, and 6 years male) presented with knotted feeding tubes placed for CIC. Details of these and an additional 31 patients are discussed in a short review. Knotting occurred almost exclusively in children (33/34, 97%), was more common in boys (22/34, 65%) and most often involved a feeding tube (27/34, 79%) with knotting in the bladder (28/34, 82%). Insertion length, caliber and stiffness of catheter, technique, and patient factors are important factors. Avoiding excessive insertion and use of an appropriate size of catheter (that is not too small) may reduce the risk. Manipulation alone (12/34, 35%), with guidewire (5/34, 15%), or with dilatation (3/34, 9%) is most often successful and is best accomplished under general anesthesia. Endourology (7/34, 21%), laparoscopy (1/34, 3%), or an incision (5/34, 15%) may be necessary in some patients. Safeguarding urethral integrity is the overarching concern. Wolters Kluwer - Medknow 2019 /pmc/articles/PMC6798299/ /pubmed/31649470 http://dx.doi.org/10.4103/UA.UA_15_19 Text en Copyright: © 2019 Urology Annals http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Singh, Vijay Pal Sinha, Sanjay Spontaneous knotting of urinary catheters placed with nonindwelling intent: Case series and literature review |
title | Spontaneous knotting of urinary catheters placed with nonindwelling intent: Case series and literature review |
title_full | Spontaneous knotting of urinary catheters placed with nonindwelling intent: Case series and literature review |
title_fullStr | Spontaneous knotting of urinary catheters placed with nonindwelling intent: Case series and literature review |
title_full_unstemmed | Spontaneous knotting of urinary catheters placed with nonindwelling intent: Case series and literature review |
title_short | Spontaneous knotting of urinary catheters placed with nonindwelling intent: Case series and literature review |
title_sort | spontaneous knotting of urinary catheters placed with nonindwelling intent: case series and literature review |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6798299/ https://www.ncbi.nlm.nih.gov/pubmed/31649470 http://dx.doi.org/10.4103/UA.UA_15_19 |
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