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Year : 2015  |  Volume : 7  |  Issue : 3  |  Page : 367-370

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

1 Department of Urology, St. John Providence, Michigan State University, Detroit, MI 48071, USA
2 Chesapeake Urology Associates, University of Maryland, Baltimore, MD 21061, USA

Correspondence Address:
Joel E Abbott
27321 Dequindre Road, Unit 32, Madison Heights, MI
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DOI: 10.4103/0974-7796.157959

PMID: 26229328

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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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