PMC10448813_01
Assembled pigtail catheter (A). Pigtail catheter disassembled (B) to show its components comprising of the puncture needle (PN), hollow trochar (HT), and pigtail catheter (PC).
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F1
After consultation with specialty services, it was elected to achieve temporary urinary diversion with a pigtail cystostomy catheter (Pigtail catheter, MILA International, Florence, South Carolina, US) (Figure 1) until additional diagnostics could be performed the next day.
Pigtail catheter placement using the right lateral approach. An operator demonstrating intended puncture site where imaginary lines of the permanent marker meet over the abdomen (A), cystostomy site covered by sterile dressing (B), and catheter tubing secured to the abdomen with a Velcro abdominal binder (C).
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F2
The urine collection set tubing was then secured to the patient's abdomen with a velcro abdominal binder (ProdyTM abdominal binder with drain fasteners, Bird & Cronin) (Figure 2).
Postcontrast sagittal (A) and transverse (B) CT images showing a diffuse urethral mass (orange arrows). The pigtail loop of the cystostomy catheter can be seen within the bladder lumen (yellow arrowhead). There is mild abdominal effusion present (blue arrowhead).
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F3
Mild abdominal effusion was observed around the pigtail catheter (Figure 3).
PMC10448813_02
PMC10448813_03
Left lateral abdominal radiograph prior to (A) retrograde urohydropulsion of urethral stones (yellow arrowhead) and after successful retrograde urohydropulsion (B). The previous urethral stones are no longer present at the level of the os penis. A radiopaque pigtail catheter is seated within the bladder lumen.
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F4
Successful retrograde urohydropulsion was performed with an 8 Fr Red Rubber catheter (Figure 4).