Management of Retained Foley’s Catheter

Abstract

Background: This study was planned to analyze the various methods used to manage retained Foley's catheter. Methods: A retrospective study was done on 20 patients of retained Foley's catheter at two different centers. Results: 9 out of 20 (45%) patients had faults in the valved side port and could be managed by simply cutting it. Two patients were managed by guide-wire insertion into the side port draining the balloon, while one adult patient was managed by mineral oil injection into the side port but developed hematuria. 35% patients needed ultrasound guided trans-abdominal balloon rupture and had no subsequent complications. In one adult female patient, non-deflating balloon could be ruptured by passing a transurethral needle. Conclusion: The ideal method used depends on identifying the site of the problem in the side port. Cutting of valved side port channel with or without aspiration, guidewire insertion, chemical injection or rarely extra-luminal balloon rupture techniques are commonly used methods of management.

Massive encrustations as a consequence of longterm indwelling urethral catheter: A rare case report

“…Intermittent balloon deflation and re-inflation to interrupt the formation of encrustations and bladder irrigation with an acidic solution are also recommended for long-term indwelling catheters [ 9 ]. Silicone catheters may be favorable for patients who need indwelling catheters since they are more resilient to encrustation than other types and are smaller in size [ 10 ]. Last but not the least, proper patient education on catheter hygiene and treating the original cause of obstruction can be more effective in minimizing complications.…”

Innovative option for removal of encrusted, incarcerated longstanding indwelling Foleys catheter

“…7 Silicone catheters may be favourable for patients who need indwelling catheters since they are more resilient to encrustation than other types and are smaller in size. 8…”

Tatalaksana Retensi Kateter Foley dari Sudut Pandang Dokter Umum

“…Hal ini dapat terjadi karena banyak hal, antara lain terganggunya fungsi katup balon, rusaknya saluran kanal balon akibat klamp eksternal, atau karena terbentuknya kristal di dalam balon. 7,8 Komplikasi tersebut termasuk kejadian langka pada pemasangan kateter rutin. 9 Beberapa metode evakuasi kateter di IGD yaitu metode invasif dan non-invasif.…”

“…9 Beberapa metode evakuasi kateter di IGD yaitu metode invasif dan non-invasif. 7 Metode non-invasif meliputi pemotongan selang kateter di saluran masuk cairan di proksimal katup inflasinya, atau distal orifisum uretra eksterna (OUE) pasien. Metode invasif terdiri dari penggunaan guide wire Central Venous Pressure (CVP) yang dimasukkan ke dalam saluran inflasi balon untuk drainase cairan balon, pendekatan suprapubik dengan jarum spinal (USG-guided) untuk membuat balon ruptur, penggunaan bahan kimia (ether, kloroform, aseton, dan mineral oil) ke dalam saluran inflasi balon dengan tujuan melisis dinding kateter yang terbuat dari Latex, dan hiperinflasi balon.…”