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Knotted urethral catheter: a twist in the tail
  1. Susan Jehangir,
  2. Dennis Darren David
  1. General Surgery, Christian Medical College and Hospital, Vellore, Tamil Nadu, India
  1. Correspondence to Dr Susan Jehangir, susanjehangir{at}


Inadvertent knotting of infant feeding tubes used for clean intermittent catheterisation (CIC) is a rare complication in paediatric patients. The small flexible tubes used in infants if advanced too far into the bladder may form a knot as the bladder empties. Surgical intervention is required especially if it is lodged in the urethra. We present a case of a baby boy aged 4 months on CIC with a 6 Fr feeding tube, which required a meatotomy for removal. Education while instituting CIC must emphasise the length of catheter insertion, the chance of knotted catheter and steps to take if it occurs. A dedicated urotherapy nurse would be ideal.

  • Infant health
  • Urological surgery
  • Catheterisation / catheter care

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  • Contributors SJ: manuscript preparation, review and administrator. DDD

    : photograph editing.

  • Competing interests None declared.

  • Patient consent Consent obtained from guardian.

  • Provenance and peer review Not commissioned; externally peer reviewed.