A clever technique for placement of a urinary catheter over a wire

Objective: The objective was to present a straightforward, step-by-step reproducible technique for placement of a guide-wire into any type of urethral catheter, thereby offering a means of access similar to that of a council-tip in a situation that may require a different type of catheter guided ove...

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Main Authors: Joel E Abbott, Adam Heinemann, Robert Badalament, Julio G Davalos
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Urology Annals
Subjects:
Online Access:http://www.urologyannals.com/article.asp?issn=0974-7796;year=2015;volume=7;issue=3;spage=367;epage=370;aulast=Abbott
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author Joel E Abbott
Adam Heinemann
Robert Badalament
Julio G Davalos
author_facet Joel E Abbott
Adam Heinemann
Robert Badalament
Julio G Davalos
author_sort Joel E Abbott
collection DOAJ
description Objective: The objective was to present a straightforward, step-by-step reproducible technique for placement of a guide-wire into any type of urethral catheter, thereby offering a means of access similar to that of a council-tip in a situation that may require a different type of catheter guided over a wire. Materials and Methods: Using a shielded intravenous catheter inserted into the eyelet of a urinary catheter and through the distal tip, a "counsel-tip" can be created in any size or type of catheter. Once transurethral bladder access has been achieved with a hydrophilic guide-wire, this technique will allow unrestricted use of catheters placed over a wire facilitating guided catheterization. Results: Urethral catheters of different types and sizes are easily advanced into the bladder with wire-guidance; catheterization is improved in the setting of difficult urethral catheterization (DUC). Cost analysis demonstrates benefit overuse of traditional council-tip catheter. Conclusion: Placing urinary catheters over a wire is standard practice for urologists, however, use of this technique gives the freedom of performing wire-guided catheterization in more situations than a council-tip allows. This technique facilitates successful transurethral catheterization over wire in the setting of DUC for all catheter types and styles aiding in urologic management of patients at a cost benefit to the health care system.
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spelling doaj.art-1c4c3499ce034b79bddc5362c429964d2022-12-21T18:20:17ZengWolters Kluwer Medknow PublicationsUrology Annals0974-77960974-78342015-01-017336737010.4103/0974-7796.157959A clever technique for placement of a urinary catheter over a wireJoel E AbbottAdam HeinemannRobert BadalamentJulio G DavalosObjective: The objective was to present a straightforward, step-by-step reproducible technique for placement of a guide-wire into any type of urethral catheter, thereby offering a means of access similar to that of a council-tip in a situation that may require a different type of catheter guided over a wire. Materials and Methods: Using a shielded intravenous catheter inserted into the eyelet of a urinary catheter and through the distal tip, a "counsel-tip" can be created in any size or type of catheter. Once transurethral bladder access has been achieved with a hydrophilic guide-wire, this technique will allow unrestricted use of catheters placed over a wire facilitating guided catheterization. Results: Urethral catheters of different types and sizes are easily advanced into the bladder with wire-guidance; catheterization is improved in the setting of difficult urethral catheterization (DUC). Cost analysis demonstrates benefit overuse of traditional council-tip catheter. Conclusion: Placing urinary catheters over a wire is standard practice for urologists, however, use of this technique gives the freedom of performing wire-guided catheterization in more situations than a council-tip allows. This technique facilitates successful transurethral catheterization over wire in the setting of DUC for all catheter types and styles aiding in urologic management of patients at a cost benefit to the health care system.http://www.urologyannals.com/article.asp?issn=0974-7796;year=2015;volume=7;issue=3;spage=367;epage=370;aulast=AbbottProstatic hyperplasiaurethral obstructionurethral strictureurinary bladder neck obstructionurinary catheterurinary retention
spellingShingle Joel E Abbott
Adam Heinemann
Robert Badalament
Julio G Davalos
A clever technique for placement of a urinary catheter over a wire
Urology Annals
Prostatic hyperplasia
urethral obstruction
urethral stricture
urinary bladder neck obstruction
urinary catheter
urinary retention
title A clever technique for placement of a urinary catheter over a wire
title_full A clever technique for placement of a urinary catheter over a wire
title_fullStr A clever technique for placement of a urinary catheter over a wire
title_full_unstemmed A clever technique for placement of a urinary catheter over a wire
title_short A clever technique for placement of a urinary catheter over a wire
title_sort clever technique for placement of a urinary catheter over a wire
topic Prostatic hyperplasia
urethral obstruction
urethral stricture
urinary bladder neck obstruction
urinary catheter
urinary retention
url http://www.urologyannals.com/article.asp?issn=0974-7796;year=2015;volume=7;issue=3;spage=367;epage=370;aulast=Abbott
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