IJCEM Copyright © 2008-All rights reserved. Published by e-Century Publishing Corporation, Madison, WI 53711
Int J Clin Exp Med 2013;6(7):603-605

Original Article
An easy technique for removal of knotted catheter in the bladder: percutaneous
suprapubic cystoscopic intervention

Aybars Özkan, Mesut Okur, Murat Kaya, Ramazan Büyükkaya, Ali Osman Katranci, Adem Kucuk

Department of Pediatric Surgery, School of Medicine, University of Duzce, Duzce, Turkey; Department of Pediatric, School of Medicine,
University of Duzce, Duzce, Turkey; Department of Radiology, School of Medicine, University of Duzce, Duzce, Turkey; Department of
Pediatric Surgery, Samsun Education and Research Hospital, Samsun, Turkey; 5Department of Pediatric Surgery, Faculty of Medicine,
Canakkale Onsekiz Mart University, Canakkale, Turkey

Received May 27, 2013; Accepted July 3, 2013; Epub August 1, 2013; Published August 15, 2013

Abstract: Uncontaminated urine samples are indispensable to precisely diagnose urinary tract infections in new-borns or infants.
Among many clinical interventions for urine collection are described, the most common noninvasive practice is using sterile bags,
associated with significant contamination of samples. In children, however, invasive methods i.e. catheterization, are generally needed
for reliable urine specimens. Almost always all the inserted catheters are easily drawn back, nevertheless, might not work as expected,
and lead to considerable problems that cannot be overcome. Herein, a case of a female newborn treated with a successful
percutaneous suprapubic cystoscopic procedure for extracting knotted urinary catheter in the bladder is presented. The least invasive
and easiest technic is suggested to be used when catheter is knotted in the bladder, as elaborately stated. (IJCEM1305017).

Keywords: Knotted urethral catheter, urinary catheterization, percutaneous cystoscopy

Address correspondence to: Dr. Aybars Özkan, Department of Pediatric Surgery, School of Medicine, University of Duzce, 81620,
Duzce, Turkey. Fax: +90 380 5421386; Tel: +90 380 5421387; E-mail: aybarsozkan@yahoo.com