Abstract
Introduction: Clot retention in the urinary bladder is a very common health problem in surgical and nonsurgical cases and clot retention treatment is quite costly.Objectives: The aim of this retrospective study was to describe an alternative technique for removing tenacious and chronic clots by using a thoracic catheter technique.Materials and methods: Between January 2011 and June 2018, a total of 27 patients of clot retention were treated under local anesthesia with the thoracic catheter technique.Results: Twenty-seven patients with a mean age of 58 years (range 45-70) were included. The etiologies of bladder clots included surgical causes and nonsurgical causes. Of the surgical causes, the most common cause was post-transurethral resection of the prostate (TURP). The nonsurgical causes were upper tract bleeding, drug-induced bleeding, post-traumatic bleeding, and haematochyluria. It was found that the thoracic catheter technique was simple and easily adoptable, with no training required.Conclusions: Clot retention in the urinary bladder is a very common problem in surgical and nonsurgical cases. Our technique is a simple, safe, fast, and effective option of clot removal from the urinary bladder and it doesn’t require any added cost.
Highlights
Clot retention in the urinary bladder is a very common health problem in surgical and nonsurgical cases and clot retention treatment is quite costly
Materials and methods: Between January 2011 and June 2018, a total of 27 patients of clot retention were treated under local anesthesia with the thoracic catheter technique
It was found that the thoracic catheter technique was simple and adoptable, with no training required
Summary
Clot retention in the urinary bladder is a very common health problem in surgical and nonsurgical cases and clot retention treatment is quite costly. Hematuria with clot retention in the urinary bladder is a common health problem in surgical and nonsurgical cases worldwide. Bladder clots lead to urinary retention and present as an emergency [1]. The standard management of clot retention is emergent clot evacuation using a Toomey syringe or Ellick’s evacuator. These procedures are highly effective, but sometimes these methods can fail and so some authors have described the use of alternate clot evacuation methods such as open suprapubic clot evacuation [1,2,3]. Multiple methods of clot evacuation have been described in the literature, and we report a method that is simple and easy to practice
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