SIMPLE METHOD OF INTRODUCING A MUSHROOM CATHETER

The mushroom catheter makes the ideal indwelling catheter. The usual introducers or obturators are not satisfactory in all cases. They work fairly well in a normal urethra, but in an exceptionally difficult, tortuous, prostatic urethra, they may fail. The method that I have used with much satisfaction is very simple. I once had occasion to introduce a mushroom catheter, but had no obturator with me. I had, however, a Walther ureteral bougie. I used the butt end of this, and slipped the catheter over it, and was successful in placing the catheter in the bladder. I used this on several occasions and found that it worked very well. Later, I encountered a tortuous prostatic urethra and found that the catheter would not make the turn. It then occurred to me that if I had some instrument that I could bend like a Coudé catheter, I could cause it to make