We congratulate the authors for describing a new method of clot removal using pancreatic
enzymes as intravesical irrigation and/or infusion. Clot removal can sometimes be
a really frustrating exercise. While using Ellik evacuator in the setting of clot
retention, we have seen many bladder ruptures, especially if the procedure is done
by trainee resident. Instead of “sucking out,” the surgeon “pushes” saline inside
the bladder suddenly to fragment and suck out clots. To avoid this problem and also
to remove really tenacious and large clots, we described the method of “suction” to
remove these clots.
1
Subsequently, we also developed a “suction bridge” to make the procedure simpler
and more safe and effective (in collaboration with Karl Storz, Germany).To read this article in full you will need to make a payment
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Reference
- Mechanical suction: an effective and safe method to remove large and tenacious clots from the urinary bladder.Urology. 2011; 77: 494-496
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© 2014 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
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- Evaluation of Bladder Clots Using a Nonsurgical TreatmentUrologyVol. 83Issue 2