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Inexpensive and combined technique: Use of suction tracheal catheter and hydrogen peroxide for the evacuation of intravesical clots |
Fred Alain Montelongo-Rodríguez( ),Carlos Daniel Guerra-Catañón,Mario Vázquez-Herrera,Adrian Gutiérrez-González,Lauro Salvador Gómez-Guerra
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Urology Department, Hospital Universitario “Dr. José Eleuterio González”, Universidad Autónoma de Nuevo León, Monterrey, México |
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Abstract Persistent hematuria could trigger urinary retention, leading the patient to the emergency department for abdominal pain, decreased urinary output, anemia, and azotemia [1,2]. Conventional bladder clot evacuation requires a three-way catheter with continuous irrigation and aspiration with a syringe or Ellik evacuator [3]. Sometimes a large and well-organized hematoma requires an open cystostomy [1,4]. We want to introduce a combined method using hydrogen peroxide as well as suction technique with an endotracheal catheter to evacuate intravesical clots.
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Available online: 20 January 2022
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Corresponding Authors:
Fred Alain Montelongo-Rodríguez
E-mail: fred.montelongo@gmail.com
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The placement of the three-way catheter and bladder flushing. (A) Endotracheal suction catheter with the suction vent; (B) Endotracheal suction catheter passing through the cystoscope sheath.
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Treatment of clot with hydrogen peroxide. (A) Clot without hydrogen peroxide; (B) Clot after the application of hydrogen peroxide.
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