Ibrahim Alnadhari1, Osama Abdeljaleel2, Omar Ali2, Ahmad Shamsodini2, Morshed Salah2. 1. Division of Urology, Surgery Department, Al Wakra Hospital, Hamad Medical Corporation, Al Wakra, Qatar. ibrahimah1978@yahoo.com. 2. Division of Urology, Surgery Department, Al Wakra Hospital, Hamad Medical Corporation, Al Wakra, Qatar.
Abstract
BACKGROUND: Urethral catheterization is a common procedure in daily medical practice and most medical staff are trained for the procedure. Buried penis in morbid obese patients with scrotal edema makes urethral catheterization challenging and sometimes fails. Different methods have been published to overcome the urethral catheterization difficulties in buried penis of obese patients. METHODS: A 51-year-old morbidly obese male patient presented with urine retention. On inspection of his external genitalia, there was no penile shaft seen and the penis was buried within the cavity between pubic fat and severely edematous scrotum. To overcome the urethral catheterization difficulties, we used a laryngoscope which helps in visualization of the glans and external urethral meatus. The figures demonstrate the technique used. RESULTS: Successful urethral catheterization under direct visualization was achieved. CONCLUSIONS: The technique is well tolerated by patients and increases the overall likelihood of successful urethral catheterization.
BACKGROUND: Urethral catheterization is a common procedure in daily medical practice and most medical staff are trained for the procedure. Buried penis in morbid obesepatients with scrotal edema makes urethral catheterization challenging and sometimes fails. Different methods have been published to overcome the urethral catheterization difficulties in buried penis of obesepatients. METHODS: A 51-year-old morbidly obese male patient presented with urine retention. On inspection of his external genitalia, there was no penile shaft seen and the penis was buried within the cavity between pubic fat and severely edematous scrotum. To overcome the urethral catheterization difficulties, we used a laryngoscope which helps in visualization of the glans and external urethral meatus. The figures demonstrate the technique used. RESULTS: Successful urethral catheterization under direct visualization was achieved. CONCLUSIONS: The technique is well tolerated by patients and increases the overall likelihood of successful urethral catheterization.