Review of techniques to remove a Foley catheter when the balloon does not deflate

Daneshmand, Siamak; Youssefzadeh, David; Skinner, Eila C.

doi:10.1016/s0090-4295(01)01483-2

Cited by 29 publications

(24 citation statements)

References 14 publications

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“…The effects of urinary precipitation under alkaline condition compounded by ureasplitting bacteria and the resulting biofilm were found to be important for catheter blockages [3]. Several investigators have discussed and compared the different techniques to deal with this problem [4][5][6].…”

Section: Discussionmentioning

confidence: 99%

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Management of Retained Foley’s Catheter

Sk¹,

Raj²,

Tripathi³

et al. 2017

JCR

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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.

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Section: Discussionmentioning

confidence: 99%

“…Extra-luminal rupture of the catheter balloon under ultrasound guidance is a safe method with almost no complications despite being invasive [4,12]. Investigators have reported the use of extracorporeal shock wave lithotripsy in such cases having calcified catheter balloons [13].…”

Section: Discussionmentioning

confidence: 99%

Management of Retained Foley’s Catheter

Sk¹,

Raj²,

Tripathi³

et al. 2017

JCR

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“…The second option to try to empty the balloon is the deconstruction of the detritus channel or salt deposits (Fig 2. Step 2). To do this, we will introduce a guide into the track for the balloon and let it empty by gravity or by aspiration (4). When this technique is not effective, it is necessary to resort to maneuvers that involve the rupture of the ball for which there are several options that we have to summarize into 3 groups (Fig 3 Step 3): Chemical dissolution (3a), ball puncture (3b) and hyper filling (3c).…”

Section: Acting Protocolmentioning

confidence: 99%

“…When this technique is not effective, it is necessary to resort to maneuvers that involve the rupture of the ball for which there are several options that we have to summarize into 3 groups (Fig 3 Step 3): Chemical dissolution (3a), ball puncture (3b) and hyper filling (3c). Each of them has advantages and disadvantages (2,4). The dissolution of the ball wall with chemical substances (3a) includes various substances such as ether, chloroform, benzene, acetone and mineral oil (2,3,4,5).…”

Section: Acting Protocolmentioning

confidence: 99%

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Algorithm Proposal to Remove a Non-Deflatable Bladder Catheter

Leon-Mata¹,

González-Varela²,

Diaz-Mariño³

et al. 2017

IAM

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Objective: Thousands of patients must carry Foley catheter during their hospital stay or at home. Sometimes it is impossible to remove it, due to the inability to deflate the balloon. There is no clear protocol about what to do, who should do it and in what order. We present a proposal for action to face this type of situation. Material and methods: We searched the databases of medical publications (Pubmed, Medline, Embase) using the following keywords: Bladder catheter removal, Non-deflatable, retained catheter, obstructed catheter. Results: Twentyfour articles that fulfilled the requirements of the search were detected. Only ten which propose stteped actions were finally included for review. Discussion: The only standardized proposal for action was published 17 years ago and it has never been updated, probably because these problems are considered "isolated cases". We review the knowledge on the subject and propose an action algorithm that would reduce costs and avoid displacement if this situation arises.

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