Application of plasma electrocautery combined with self-made irrigation catheter in the treatment of bladder blood clot tamponade: A retrospective study of 21 patients

Objective: To explore the application effect of plasma electrocautery combined with self-made irrigation catheter in the treatment of bladder clot tamponade. Methods: We retrospectively analyzed 21 cases of bladder clot tamponade admitted to our hospital from October 2020 to October 2024. The patients were divided into two groups: the experimental group (plasma electrocautery combined with self-made irrigation catheter) and the control group (plasma electrocautery alone). We compared the two different surgical methods in terms of blood clot clearance time, size of blood clots removed, postoperative bladder irrigation time, and postoperative rebleeding. Results: The sizes of the blood clots removed in the two groups were (178.50±43.85) g and (167.27±50.12) g，respectively. The operation times were (51.00±12.01) minutes and (36.64±8.19) minutes, respectively. The postoperative bladder irrigation times were (2.05±0.76) days and (1.32±0.60) days, respectively. There was no statistically significant difference between the two groups in terms of the size of blood clots removed and the probability of postoperative rebleeding. However, it was statistically significant in terms of operation time and postoperative bladder irrigation time compared to the use of plasma electrocautery alone (P<0.05). Conclusion: The application of plasma electrocautery combined with a self-made irrigation catheter in the treatment of bladder blood clot tamponade could effectively improve the clearance rate of blood clots within the bladder and accelerate the recovery of patients' conditions.