Clot Retention: Our Experiences with a Simple New Technique of Evacuation with a Thoracic Catheter

Abstract

Introduction: Clot retention in the urinary bladder is a very common health problem in surgical and nonsurgical cases and clot retention treatment is quite costly. Objectives: The aim of this retrospective study was to describe an alternative technique for removing tenacious and chronic clots by using a thoracic catheter technique. Materials and methods: Between January 2011 and June 2018, a total of 27 patients of clot retention were treated under local anesthesia with the thoracic catheter technique. Results: Twenty-seven patients with a mean age of 58 years (range 45-70) were included. The etiologies of bladder clots included surgical causes and nonsurgical causes. Of the surgical causes, the most common cause was post-transurethral resection of the prostate (TURP). The nonsurgical causes were upper tract bleeding, drug-induced bleeding, post-traumatic bleeding, and haematochyluria. It was found that the thoracic catheter technique was simple and easily adoptable, with no training required. Conclusions: Clot retention in the urinary bladder is a very common problem in surgical and nonsurgical cases. Our technique is a simple, safe, fast, and effective option of clot removal from the urinary bladder and it doesn’t require any added cost.

Intervensi Manual Bladder Washout Dalam Mengatasi Retensi Bekuan Darah Pada Pasien Post Turp: a Literature Review

“…Seleksi studi ditampilkan pada Gambar 1, sebanyak 588 studi yang diidentifikasi dengan menggunakan 5 database, yaitu sebanyak 53 dari PubMed, 106 dari Science Direct, 69 dari ProQuest, 257 dari Wiley, dan 103 dari Google Schoolar. Lima studi yang diidentifikasi (Aydin et al, 2019;Bo et al, 2014;Clarebrough et al, 2018; Ding Aimin, Cao Huling, Wang Lihua, Cheng Jiangang, Wang Jian, 2017; Uddin MM, AminR. Rahman, Chowdhury SM, Khan MR, 2013) (Tabel 2) menggambarkan efek dari MBW pada pasien pria dengan post TURP.…”

“…Studi yang diidentifikasi dalam kriteria inklusi diterbitkan antara tahun 2010 hingga 2019. Dua studi menggunakan kohort retrospective (Aydin et al, 2019;Uddin MM, AminR. Rahman, Chowdhury SM, Khan MR, 2013), dua studi kohort prospective (Bo et al, 2014;Clarebrough et al, 2018), dan satu studi quasi eksperimental (Ding Aimin, Cao Huling, Wang Lihua, Cheng Jiangang, Wang Jian, 2017).…”

Evaluation of urinary catheters for effective manual bladder washout

“…A recently developed standard protocol for MBW (CATCH-22) recommends the use of a minimum of 22 Fr catheter 6 . Several reports have shown the usefulness of catheters with additional side holes or catheters for non-urological settings such as thoracic and rectal tube 5 , 7 , 8 . In addition, the flow characteristics of various urinary catheters have been evaluated.…”

Intravesical Blood Clot Retention? How We Manage It, a Tertiary Hospital Preference

“…Various etiologies of intravesical blood clot retention are bladder and prostate malignancy, benign prostate enlargement (BPE), radiation-induced cystitis, stones, urological trauma, and postoperative bleeding after transurethral resection of prostate (TURP) (2). The formation of blood clots in the bladder is one defense mechanism and an essential part of hemostasis.…”

“…Inappropriate management of intravesical blood clot retention will increase patient morbidity and mortality. Complications of blood clot retention are anemia that requires a transfusion, urinary tract infections leading to urosepsis, and even death (2). This study aimed to discover and report the demography, characteristics, management, and complication of patients with intravesical blood clot retention who were treated at Dr. Soetomo General Hospital Surabaya.…”