Salient Journal of Urology | Volume 1, Issue 1 | Case Report | Open Access

The Bedside Flexible Cystoscopy: The Right Answer to Difficult Catheterization in Adult Acquired Buried Penis. A Case Report

Andrea Fabiani^*

Urology Unit, Surgery Department, Macerata Civic Hospital, AREA VASTA 3 ASUR MARCHE, Italy

^*Correspondence to: Andrea Fabiani 

Abstract

Although placement of transurethral catheter may seem simple, this procedure represents the most common cause of urologic consultation. In men, the inability to place a urethral catheter could result from an urethral stricture, severe phimosis, false passage. The blind urethral procedures with mechanical or metal sounds without visual guidance or guidewire assistance are commonly used. This approach must be discouraged due to the high risk of urethral trauma or false passages that can rapidly turn into a severe complication. The management of a difficult catheterization lacks a standardized protocol. This lack is further felt in the case of infrequent but emerging clinical conditions often requiring a prompt and effective response, especially in an emergency medical setting. In particular, we refer to the case of the buried penis syndrome in adults, an infrequent but progressively increasing reason of difficult catheterization. We present a case of an obese patient entered the emergency room for urinary retention. The penis was buried also by a voluminous inguinal-scrotal hernia.

Keywords:

Buried penis; Difficult catheterization; Flexible cystoscopy

Citation:

Andrea Fabiani, Silvia Stramucci.The Bedside Flexible Cystoscopy: The Right Answer to Difficult Catheterization in Adult Acquired Buried Penis. A Case Report.Sali Jour Uro. 2022;1(1):1-5.