Abstract
Catheterization of the neonatal urethra may be required to relieve urinary retention monitor fluid balance or obtain access for radiological studies or a urine specimen for culture when sepsis is suspected. The small calibred male urethra may resist the introduction of a standard catheter and an infant feeding tube which is generally narrower and more flexible is frequently used as a substitute. Complications attending this practice include trauma during insertion and subsequent haematuria. Actual knotting of the tube within the bladder is rare and its subsequent removal may pose a major challenge. We were recently presented with this problem and thought it would be useful to present the implications and management of such a situation. (excerpt)
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