What is the simple technique used to manage severe rectal bleeding after a TRUS prostate biopsy, and how does it work?

A readily available 28Fr Foley catheter and a haemostatic rectal sponge are used. The 28Fr Foley catheter is threaded through the haemostatic rectal sponge. Guided by a finger, the catheter is inserted into the rectum, then the catheter balloon is inflated with 20ml of water to provide effective tamponade. While effective, care must be taken to avoid prolonged tamponade to prevent mucosal necrosis of the rectal wall.

How is acellular dermal matrix (ADM) traditionally used in primary breast reconstruction, and what is the challenge this new technique addresses?

Acellular dermal matrix, or ADM, is used to provide inferolateral coverage of tissue expanders or implants. Traditionally, shaping the ADM to fit the specific dimensions of each case can be time-consuming. The new technique addresses this by streamlining the shaping process, saving valuable time and improving surgical efficiency. This innovative approach utilizes a temporary template drawn directly on the expander/implant during surgery.

What are the benefits of using a Foley catheter and haemostatic rectal sponge to manage post-biopsy bleeding compared to traditional methods?

The Foley catheter and haemostatic rectal sponge method is quick, simple, and usually well-tolerated by patients. The use of readily available materials ensures that significant bleeding can be managed promptly, without resorting to more complex interventions. Traditional methods range from simple pressure to more invasive endoscopic haemostasis, which may require more resources and time. However, it is important to use the Foley catheter with care to avoid prolonged tamponade to prevent mucosal necrosis of the rectal wall.

In breast reconstruction, how does the new technique for shaping acellular dermal matrix (ADM) improve surgical efficiency, and what are the implications for patients?

The new technique uses a temporary template drawn on the expander/implant during surgery, which is then transferred onto the ADM to guide cutting and shaping. This streamlines the process, saving valuable time. The shaped acellular dermal matrix is then sutured to the pectoralis major muscle and chest wall, providing optimal coverage and support. This can lead to shorter surgery times, reduced risk of complications, and improved aesthetic outcomes for patients.

What type of catheter is recommended for the TRUS prostate biopsy bleeding technique, and what is the significance of the balloon inflation volume?

A 28Fr Foley catheter is recommended for the TRUS prostate biopsy bleeding technique. The inflation volume of 20ml of water is significant because it provides effective tamponade to control the bleeding. This volume is sufficient to apply pressure to the bleeding site without causing excessive discomfort to the patient. However, care must be taken to avoid prolonged tamponade, as this can lead to mucosal necrosis of the rectal wall. The appropriate balance between tamponade and potential complications is crucial for the success of the procedure.

Innovative surgical techniques combining urology and plastic surgery.

Beyond the Scalpel: Innovative Techniques for Managing Post-Biopsy Bleeding and Streamlining Breast Reconstruction

Reese Marlowe in Health & Wellness December 2025 • 4 min read.

"Explore groundbreaking methods in urological and plastic surgery that enhance patient safety and improve surgical outcomes through simple, yet effective approaches."

In the ever-evolving landscape of medical science, innovation isn't always about high-tech gadgets or complex procedures. Sometimes, the most impactful advancements come from simple, creative solutions that improve patient outcomes and streamline existing processes. This is especially true in fields like urology and plastic surgery, where practitioners constantly seek ways to enhance safety, minimize complications, and optimize results.

This article delves into two such innovations: a technique for managing severe rectal bleeding following transrectal ultrasound (TRUS) prostate biopsy, and a method for efficiently shaping acellular dermal matrix (ADM) in primary breast reconstruction. Both techniques highlight the power of resourcefulness and ingenuity in addressing common challenges in their respective fields. By exploring these approaches, we aim to shed light on how medical professionals are leveraging readily available tools and materials to make a significant difference in patient care.

Whether you're a healthcare professional looking for practical solutions to everyday challenges, or simply an individual interested in the latest advancements in medical technology, this article offers valuable insights into the world of surgical innovation. Join us as we explore these groundbreaking techniques and their potential to transform the way we approach patient care.

Tackling Post-Biopsy Bleeding: A Simple Solution with a Foley Catheter

Innovative surgical techniques combining urology and plastic surgery.

Transrectal ultrasound (TRUS) guided biopsy of the prostate is a common procedure, but it comes with a risk of rectal bleeding. While most cases are self-limiting, severe bleeding can occur and requires prompt intervention. Traditional methods range from simple pressure to more invasive endoscopic haemostasis. However, a team of medical professionals has found a novel way to use standard equipment to quickly and effectively resolve this complication.

The technique involves a readily available 28Fr Foley catheter and a haemostatic rectal sponge. Here’s how it works:

Preparation: A 28Fr Foley catheter is threaded through a haemostatic rectal sponge.
Insertion: Guided by a finger, the catheter is inserted into the rectum.
Tamponade: The catheter balloon is inflated with 20ml of water, providing effective tamponade to control the bleeding.

This method is quick, simple, and usually well-tolerated by patients. The use of readily available materials ensures that significant bleeding can be managed promptly, without resorting to more complex interventions. However, care must be taken to avoid prolonged tamponade to prevent mucosal necrosis of the rectal wall.

Revolutionizing Breast Reconstruction: Streamlining ADM Shaping

In primary breast reconstruction, acellular dermal matrix (ADM) is often used to provide inferolateral coverage of tissue expanders or implants. Traditionally, shaping the ADM to fit the specific dimensions of each case can be time-consuming. However, a new technique streamlines this process, saving valuable time and improving surgical efficiency. This innovative approach utilizes a temporary template drawn directly on the expander/implant during surgery. This template is then transferred onto the ADM, providing a precise guide for cutting and shaping the matrix to the desired size. The shaped ADM is then sutured to the pectoralis major muscle and chest wall, providing optimal coverage and support.