Jia Bo1, Yin Yangyang2, Liu Jiayuan3, Deng Siwen3, Cai Yong3, Yao Junbo3. 1. Department of Urology, Dongxihu District People's Hospital, Wuhan, Hubei, China. Electronic address: bbwyy@live.cn. 2. Department of Pathology, Hubei University of Chinese Medicine, Wuhan, Hubei, China. 3. Department of Urology, Dongxihu District People's Hospital, Wuhan, Hubei, China.
Abstract
OBJECTIVE: To introduce a novel method to successfully evacuate severe clot retention in the bladder. METHODS: A total of 22 male patients were treated using our method for severe clot retention. The bladder was irrigated with 40,000 U chymotrypsin in 50 mL of 5% sodium bicarbonate using a Foley catheter (20 F-24 F) for 30 minutes. The clots were then easily mobilized and evacuated using continuous saline irrigation and suction with a 60-mL syringe. The procedure was repeated 2-4 times until all the blood clots had been evacuated. RESULTS: Of the 22 patients, 19 were successfully treated using this method, with clot retention thoroughly resolved. CONCLUSION: The chymotrypsin and sodium bicarbonate irrigation technique is safe, inexpensive, and a successful method to evacuate severe clot retention.
OBJECTIVE: To introduce a novel method to successfully evacuate severe clot retention in the bladder. METHODS: A total of 22 male patients were treated using our method for severe clot retention. The bladder was irrigated with 40,000 U chymotrypsin in 50 mL of 5% sodium bicarbonate using a Foley catheter (20 F-24 F) for 30 minutes. The clots were then easily mobilized and evacuated using continuous saline irrigation and suction with a 60-mL syringe. The procedure was repeated 2-4 times until all the blood clots had been evacuated. RESULTS: Of the 22 patients, 19 were successfully treated using this method, with clot retention thoroughly resolved. CONCLUSION: The chymotrypsin and sodium bicarbonate irrigation technique is safe, inexpensive, and a successful method to evacuate severe clot retention.