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.