Traumatic Catheterization Procedure
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- Sedation
- Use largest open-end rigid polypropylene urinary catheter cut diagonally to create a sharp edge like a needle bevel.
- Lube heavily and pass catheter retrograde and guide with US into pathologic tissue.
- Drain urine to minimal amount necessary to enhance visualization of the lesion.
- Assistant provides negative pressure with 60 cc syringe while providing sharp jabs into tissue lesion guided by sonographer. See 3rd video.
- Histopath review if overt tissue obtained, if fragmented then centrifuge and submit sediment on slide or tissue container. Culture sediment as well.
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