Emergency management of the nondeflating foley catheter balloon

Khan, Saad; Landes, Fred; Paola, Angelo S.; Ferrarotto, Louise

doi:10.1016/0735-6757(91)90091-w

Cited by 17 publications

(8 citation statements)

References 12 publications

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“…These could be followed by removal of the valve by cutting off the end of the balloon port. 1,2 If the balloon still fails to deflate, we need to burst the balloon by special methods (Table 1). Balloon hyperinflation with saline until the balloon ruptures could be regarded as an inferior method.…”

Section: Discussionmentioning

confidence: 99%

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Trans‐Abdominal Ultrasound‐Guided Suprapubic Puncture of a Non‐Deflating Foley Catheter Balloon

Lee¹,

Tsui²

2005

Hong Kong j. emerg. med.

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Failure of a Foley catheter balloon to deflate is a frustrating problem to both the patient and the doctor. We report a case of non-deflating Foley catheter balloon successfully deflated by needle puncture via the suprapubic route under trans-abdominal ultrasound guidance by emergency physicians. The procedure is simple and safe. We believe that all emergency physicians with adequate knowledge and minimal training can acquire the technique. The choices of different methods to deflate the balloon are also discussed.

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Section: Discussionmentioning

confidence: 99%

“…The obstruction by crystals, calculi or debris can be at different levels from the side port to the balloon itself. 1 Obstruction not overcome by balloon port flushing or stylet passage requires other more invasive methods to overcome the problem. 2,3 Needle puncture under ultrasound guidance is one of the safe and reliable methods.…”

Section: Introductionmentioning

confidence: 99%

Trans‐Abdominal Ultrasound‐Guided Suprapubic Puncture of a Non‐Deflating Foley Catheter Balloon

Lee¹,

Tsui²

2005

Hong Kong j. emerg. med.

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“…Dissolution of the balloon with chemical solutions can cause significant cystitis 13 . Rupturing the balloon by over distension may cause vesical over‐distension and potential bladder perforation 14 . It is also not possible after the valve of the balloon channel is cut.…”

Section: Discussionmentioning

confidence: 99%

An easy method of deflating a blocked Foley balloon

Bui

Agarwal

Clarke

2002

ANZ Journal of Surgery

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Blocked Foley balloons are occasionally encountered by many urological surgeons. A number of methods of removing a blocked balloon catheter have been advocated. They are usually invasive, time and resource consuming and often ineffective. A non-invasive, reliable and safe technique of deflating a blocked catheter balloon by inserting a Glidewire through the balloon channel is reported in the present paper.

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“…An alternative method can be used under anaesthesia, in which a paediatric cystoscope is passed parallel to the urethral catheter until the bladder is entered and the catheter balloon is entered using diathermy [24]. An alternative would be to use a ureteroscope, and to puncture the balloon with a guide-wire [10]. Operative methods such as this have also been used when the catheter has been transected and the retained part has retracted into the urethra.…”

Section: Non-radiological Balloon Puncturementioning

confidence: 99%

“…The bladder is filled with 200 ml of saline prior to starting the procedure, to minimise bladder trauma from balloon rupture. The catheter balloon is then inflated to 10-15 times its normal capacity (Often 200-300 ml for standard Foley catheters) to rupture it [10]. If the catheter inflation port has been removed then an intravenous cannula can be inserted into the inflation lumen and secured with an artery clip to permit inflation.…”

Section: Injection Of Liquid Into the Balloonmentioning

confidence: 99%