A new endoscopic technique to evacuate organised blood clots from the bladder

Massive haematuria with clot retention is a surgical emergency. The established techniques to remove such bladder clots are bladder irrigation with a three way catheter, use of a bladder syringe to suck out clots and use of a resectoscope and loops. Delayed organised clots in large amounts are difficult to be removed using these methods. We describe a new technique where a nasogastric tube is inserted via the resectoscope sheath and connected to an ordinary suction apparatus that could be used for successful removal of organised blood clots in the bladder.