Title: A Clinical Study on Non-Deflactable Foley’s Catheter

Authors: Sarath Chandran S, Ashwin Muthukumar R, Vinoth P, Shyam Kiran S. M

 DOI: https://dx.doi.org/10.18535/jmscr/v7i1.56

Abstract

 

Introduction & Objective: Bladder catheterisation is a common procedure which is done as a part of management of different illness various catheter can be used for bladder catheterization, Foley’s self retaining catheter is commonly used catheter for bladder catheterization. Unlike any therapeutic procedure bladder catheterization has its complications like urethral injury, catheter associated infections, etc., Relatively uncommon complication associated with Foley’s catheterization is non-deflatable Foley’s which result in unable to remove Foley’s catheter. Our objective of the study is to provide protocol plan based on our observation regarding non-deflatable Foley’s catheter.  

Material & Methods: This is a prospective study conducted in Rajah Muthiah Medical College under Department of urology between the period of march 2018to November 2018. A total of 18 cases reported with difficulty in removal of Foley’s catheter following a therapeutic procedure were included in the study.

Results: Among 18 patients presented to Department of Urology, 38% of patients treated with simple aspiration along inflation channel was able to solve the problem. In 11.2% of patients cutting the inflation channel and with or without aspiration, Foley’s removal was done. In another 11.2% passing ureteral stent was done and successful removal of Foley’s achieved and around 38% of patients required invasive procedure.  

Conclusion: A large number of treatment options are employed in removal of non- deflatable Foley’s catheter. Both invasive and non-invasive methods are used. Important history of how long catheter has been placed must be asked and short duration of period less than two weeks defect in inflation channel is the major cause rather than crystallization of inflation fluid and encrustation of catheter which is seen in long standing cases. For short courses invasive techniques are more useful.

Keywords: Foley’s catheter, Bladder catheterization, Non-deflatable Urethral catheter, Transvaginal Puncture, Cystoscopy.

References

  1. Cancio LC, Sabanegh ES Jr, Thompson 1M. Managing the Foley catheter. Am Fam Physician 1993; 48:829-36.
  2. Ndirangu K, Ngugi M. Problems of indwelling Foley catheters. East Afr Med J 1994;71:132-4.
  3. Kleeman FJ. Technique for removal of Foley catheter when balloon does not deflate. Urology 1983; 21:416.
  4. Vandendris M. How to deflate refractory balloon of a bladder catheter. Urology 1985;26:300.
  5. Murphy GF, Wood DP Jr. The use of mineral oil to manage the nondeflating Foley catheter. J Urol 1993;149:89-90.
  6. Ohashi H. [A case of a bladder calculus due to a ruptured balloon fragment of a Foley catheter.] Hinyokika Kiyo 1997;43:227-8.
  7. Anyanwu SN, Apakama IG. Simple methods for the removal of non-deflating balloon bladder catheters suitable for the developing countries. Trop Doct 1991;21:84-5.
  8. Adebamowo CA, Okeke LI. The retained urinary catheter. Trop Geogr Med 1993;45:186-8.
  9. Naunton-Morgan TC, Barrett NK, Boultbee JE. Simple procedure for the removal of a non-deflating balloon bladder catheter: two cases. Br J Radiol 1986; 59:1043-4.
  10. Goel MC, Bhadauria RP, Banerjee GK, Kapoor R. A new endoscopic technique for non-deflating Foley balloon. Arch Esp Urol 1995;48:973-5.
  11. Gattegno B, Michel F, Thibault Ph. A serious complication of vesical ether instillation: ether cystitis. J of Urol 1988;139:357-358.
  12. Gulmez I, Ekmekcioglu O, Karacagil M. A comparison of various methods to burst Foley catheter balloons and the risk of free-fragment formation. Br J Urol 1996;77:716-718.

Corresponding Author

Sarath Chandran S

Department of Urology, Rajah Muthiah Medical College and Hospital,

Annamalai University, Annamalai Nagar – 608002, India