A new method to facilitate complicated urethral catheterization in men: a technical point of view

Introduction: Urethral injuries in men sometimes turn into colossal and long-term challenges. In some patients, urethral catheterization after internal urethrotomy or maintaining the alignment of the urethra after trauma may become complicated and not feasibly applicable. This study describes a new method and its technical points to facilitate probing in patients whose urethral catheterization is challenging. As far as we know, this technique has not been previously reported elsewhere. Case Presentation: Case 1 involved a 34-year-old male patient who had a complete rupture of the posterior urethra following a 2-meter height fall on an iron rod penetrating the perineum. Case 2 was a 45-year-old male patient with a history of urethroplasty several times and receiving penile skin grafts for urethra reconstruction. Cystoscopy revealed intraurethral hair growth, significant fibrosis, and stricture throughout the urethra. Conclusion: This study described a new method to facilitate ureteral catheterization using a Foley catheter mounted on the ureteroscope. This strategy is simple, effective, and promising when other ureteral catheterization methods prove inapplicable.