876 Paediatric NG Tubes and NG Spigots – A Novel Approach to Treating Urinary Retention Secondary to Phimosis in The Emergency Department. (12th October 2021)

• Record Type: Journal Article
• Authors: Newman, M; Clement, K
• Is Part Of: British journal of surgery. Volume 108:Supplement 6(2021)
• Publication Date: 2021-10-12
• Subjects: Surgery -- Periodicals; 617.005
• DOI: 10.1093/bjs/znab259.332
• Languages: English
• ISSNs: 0007-1323

Abstract

Abstract: Introduction: Urinary retention due to phimosis is usually treated with an emergency dorsal slit. We present a novel approach to treating urinary retention secondary to phimosis in the emergency department. Case report: We present a 53 gentleman who was seen in the emergency department due to absolute urinary retention. On review, the gentleman had a grade 5 phimosis. After several minutes of attempting to separate the edges of the forskin, a small opening was created and a size 4Fr NG paediatric NG tube was passed providing temporary relief for the patient. Once the patient was more comfortable, the narrow end of a NG spigot was used to dilate the phimosis enough for a 14Fr catheter to be passed. The patient was observed for a period of time, discharged with a trial without catheter clinic two weeks later and listed for an outpatient circumcision. Conclusions: This case demonstrates a novel technique for treating urinary retention secondary to phimosis within the emergency department, avoiding the need for an emergency dorsal slit.