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An approximation method for the prevention of knot formation during catheterization in children

Published:October 08, 2022DOI:https://doi.org/10.1016/j.jpurol.2022.10.004

      Summary

      Introduction

      Knotting during urethral catheterization in children is an unpleasant situation. We aimed to minimize this risk.

      Method

      To prevent knot formation, we must understand its nature. We focused on the simplest, and most fundamental, known as overhand knot.

      Results

      Calculating the maximum length of catheter inserted in the bladder without risk of knotting, we estimated the minimum length of catheter needed for an overhand knot.

      Discussion

      This theoretical approach provides a rough estimation which may contribute to secure catheterization.

      Conclusion

      Adding the calculated length to the appropriate for gender and age urethral length, may reduce knotting risk.

      Keywords

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