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Mechanical suction for clot evacuation: experience with “suction bridge” for safe and effective clot removal

  • Urology - Original Paper
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Abstract

Objectives

To present the experience with the use of a “suction bridge” for removal of bladder clots.

Methods

In all patients presenting with bladder clots, mechanical suction was done using a “suction bridge”. This bridge has a luer lock that is fixed to the cystoscope sheath, and the other end is connected to suction tube. The suction pressure was started at 250 mmHg and was increased up to 400 mmHg if needed.

Results

Twenty patients with a mean age of 59.4 years were included. The etiologies of bladder clots included bladder tumor in nine, benign prostate hyperplasia (BPH) in two, BPH with bladder stone in one, hematochyluria in three, and post-transurethral prostate resection in 10. Eighteen patients presented in clot retention. The estimated clot size ranged from 50 mL to more than 1 L. The mean duration for clot removal was 15 min (range 5–60). The procedure was successful in all patients. There was no bladder injury. The limitations include the small number of recruits, the non-randomized nature of study, and no control group for comparison.

Conclusion

Mechanical suction is another safe, fast, and effective option of clot removal from the urinary bladder. The suction bridge is useful while using this method.

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Acknowledgments

Apul Goel wishes to thank Karl Storz Gmbh & Co. KG for making the prototype of the suction bridge.

Conflict of interest

Apul Goel has conceived and designed the devise. Karl Storz Gmbh Co, Germany has manufactured this prototype. Currently, this devise is not marketed commercially. There is no financial relation between Apul Goel and Karl Storz Gmbh Co, Germany. Diwakar Dalela has no conflict of interest.

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Authors and Affiliations

  1. Department of Urology, King George Medical University, Lucknow, India

    Apul Goel & Diwakar Dalela

Authors
  1. Apul Goel
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  2. Diwakar Dalela
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Corresponding author

Correspondence to Apul Goel.

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Goel, A., Dalela, D. Mechanical suction for clot evacuation: experience with “suction bridge” for safe and effective clot removal. Int Urol Nephrol 47, 723–726 (2015). https://doi.org/10.1007/s11255-015-0962-8

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  • DOI: https://doi.org/10.1007/s11255-015-0962-8

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