{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T01:04:28Z","timestamp":1785546268604,"version":"3.56.0"},"reference-count":7,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,4,15]]},"abstract":"<jats:p>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\u2009months 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.<\/jats:p>","DOI":"10.1136\/bcr-2016-217834","type":"journal-article","created":{"date-parts":[[2017,5,4]],"date-time":"2017-05-04T06:05:10Z","timestamp":1493877910000},"page":"bcr-2016-217834","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Knotted urethral catheter: a twist in the tail"],"prefix":"10.1136","volume":"2017","author":[{"given":"Susan","family":"Jehangir","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dennis Darren","family":"David","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,5,3]]},"reference":[{"key":"2025042706015340000_2017.may03_1.bcr-2016-217834.1","first-page":"229","article-title":"Insertion of indwelling urethral catheters in infants and children: a survey of current nursing practice","volume":"24","author":"Smith","year":"1998","journal-title":"Pediatr Nurs"},{"key":"2025042706015340000_2017.may03_1.bcr-2016-217834.2","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1111\/j.1744-6155.1997.tb00198.x","article-title":"Standards to prevent complications of urinary catheterization in children: should and should-knots","volume":"2","author":"Carlson","year":"1997","journal-title":"J Soc Pediatr Nurs"},{"key":"2025042706015340000_2017.may03_1.bcr-2016-217834.3","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1159\/000071085","article-title":"Endoscopic removal of knotted urethral catheter: a point of technique","volume":"71","author":"Dogra","year":"2003","journal-title":"Urol Int"},{"key":"2025042706015340000_2017.may03_1.bcr-2016-217834.4","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1097\/PEC.0000000000000751","article-title":"A Knotted Urethral Catheter in the Emergency Department","volume":"33","author":"Terentiev","year":"2017","journal-title":"Pediatr Emerg Care"},{"key":"2025042706015340000_2017.may03_1.bcr-2016-217834.5","first-page":"1649","article-title":"Management of urethral catheter knot in a neonate","volume":"9","author":"Mayer","year":"2002","journal-title":"Can J Urol"},{"key":"2025042706015340000_2017.may03_1.bcr-2016-217834.6","first-page":"603","article-title":"An easy technique for removal of knotted catheter in the bladder: percutaneous suprapubic cystoscopic intervention","volume":"6","author":"Ozkan","year":"2013","journal-title":"Int J Clin Exp Med"},{"key":"2025042706015340000_2017.may03_1.bcr-2016-217834.7","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-005-1430-x"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2016-217834","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T13:02:05Z","timestamp":1745758925000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2016-217834"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,5,3]]},"references-count":7,"alternative-id":["10.1136\/bcr-2016-217834"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2016-217834","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,5,3]]}}}