A novel cannulation technique for difficult urethral catheterization.

INTRODUCTION

To propose a novel cannulation technique for difficult urethral catheterization procedures.

TECHNIQUE

The sheath tip of an intravenous catheter is cut off, replaced to the needle tip and pushed through the distal drainage side hole to Foley catheter tip, and finally withdrawn for cannulation. In situations making urethral catheterization difficult, a guide wire is placed under direct vision. The modified Foley catheter is slid successfully over the guide wire from its distal end throughout the urethral passage into the bladder.

RESULTS

The modified Foley catheter was used successfully in our clinic in cases requiring difficult urethral catheterization.

CONCLUSIONS

This easy and rapid modification of a Foley catheter may minimize the potential complications of blind catheter placement in standard catheterization.