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A prospective study on management of retained Foley’s catheter due to non-deflating catheter balloon

Author: 
Indrajit Rana, Jugindra Sorokhaibam and Somorendro Paonam
Subject Area: 
Health Sciences
Abstract: 

Introduction: One of the commonly performed invasive procedures in hospitalized patients is Foley catheterization. Retained Foley catheter due to non-deflating catheter balloon is a known complication though rarely encountered in day to day practice. The current study was conducted to evaluate our experience of managing retained Foley catheter due to non-deflating catheter balloon and review hospital policy to address the problem. Materials and Methods: This prospective, descriptive study was conducted at Shija Hospitals & Research Institute from 1st November, 2013 to 31st October, 2015 (2 years). All indoor, OPD and casualty patients who were diagnosed as a case of retained Foley catheter due to non-deflating catheter balloon were included in the study population. Results: 15 male (83.3%) and 3 female (16.7%) patients were managed for Foley catheter retention. Mean duration of catheterization was 11.9 days. Flushing with distilled water and cutting balloon port proximal to inflation valve were successful in 5.6% (n=1) and 23.5% (n=4) cases respectively. Balloon rupture was done in 72.2% (n=13) cases. Transvaginal puncture of catheter balloon was successfully performed in all 3 female patients. Puncture directly to catheter balloon retained at bulbar urethra was done in one case. In all other 9 cases transabdominal ultrasound guided suprapubic puncture of catheter balloon was successfully performed. Conclusion: Management of retained Foley catheter is challenging. Every hospital should have their own protocol to manage such cases. A good coordination between physician, surgeon and sonologist is often required to overcome the problem.

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