Retained Urethral Catheter: Novel Method of Removal Using Trans-rectal Ultrasound Guidance (original) (raw)
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The management of retained Foley catheters
The Canadian journal of urology, 2004
To review our experience in managing the uncommon problem of a retained Foley catheter secondary to an inability to deflate the catheter balloon. A chart review of 13 patients in whom it was not possible to deflate their Foley catheter balloons was performed. We review the various techniques used to deflate their catheter balloons and present a modified algorithm. In 23% of our patients, passive aspiration with a syringe successfully deflated the balloon. In 31% of our patients, cutting the catheter with or without subsequent aspiration successfully deflated the balloon. In 15% of our patients, a wire passed through the balloon port successfully deflated the balloon. Thirty one percent of our patients required more invasive maneuvers with extraluminal balloon puncture either transvaginally, transurethrally, or suprapubically. There are a variety of non-invasive and invasive techniques to manage the problem of an inability to remove a Foley catheter. The urologist should be aware of ...
Retained Urethral Catheter.pdf
Retained Urethral Catheter Secondary to Bladder Stone in a 70years Old Man with Huge Prostate, 2018
Abstract Introduction: Prolonged urethral catheterization can cause retained catheter Key Words: Retained catheter; bladder stone; prostate Case: 70 years old with BPH, with retained catheter due to huge stone, he had extraction of the stone and prostatectomy. Discussion: our patient presented with six months prolonged catheterization and Argarwal et al reported 3 months. Conclusion: retained catheter can be caused by stone around the tip of the catheter.
BAU Journal - Health and Wellbeing
The urinary catheters' mean indwelled duration after PIUR (primary interventional urethral realignment) is 25 days. Only four cases of forgotten urinary catheter were reported in the literature. The objective of this clinical case report is to highlight the unusual finding of a four-years forgotten urinary catheter in a young sexually active 23-year-old man and its management, aspiring future similar endeavors. A 23-year-old man presented to the hospital exhibiting severe supra-pubic pain and inability to urinate for one day. He described undergoing PIUR for a traumatic urethral rupture four years ago. An indwelling urinary catheter was placed subsequently, that he claims being removed by his physician 21 days later. Urinary hesitancy and frequency were reported since then, maintaining normal sexual activity. Based on having a tender vesicular globe, and a disclosed rod inside his penis, he was diagnosed with urinary retention by a foreign body and admitted to the hospital for further investigations. Vesicular decompression by a supra-pubic catheter was performed. A non-contrast pelvic CT scan revealed a calcified elongated structure suspecting an encrusted retained urinary catheter. In the operating room, rigid ureteroscope with the assistance of lithotripsy were proficient in fragmenting only intra-urethral calcifications. Sequentially, an open cystolithotomy evacuated the remaining calcified vesicular balloon. Patient was asymptomatic on subsequent visits denying any urinary symptoms and stating normal sexual activity. Removing such a foreign body, especially when severely encrusted as well as avoiding trauma to the urethra while minimizing patient morbidity remain a clinical confront for the surgeon. Hence, minimally invasive procedures are always preferred. In this case, we had to assist the rigid ureteroscope and the lithotripsy by an open cystolithotomy for the large calcified balloon. Nevertheless, this method has proved to be safe and efficient. Thus, it is suggested to be used in future comparable cases.
Management of Catheter-Associated Urethral Strictures
Orient Journal of Medicine, 2020
Background: Urethral stricture is an abnormal narrowing or loss of distensibility of any segment of the urethra surrounded by corpus spongiosum. In the last two decades, there has been a change in the pattern of aetiology of urethral stricture in urban centres in Nigeria with a shift away from post-infective strictures to the emergence of traumatic and iatrogenic causes.Objective: This study aims to present our observation of the occurrence of long-segment urethral strictures in patients after urethral catheter placement for various indications.Methodology: This is a descriptive, cross sectional report of patients who presented to and were managed at the Urology Unit of a tertiary hospital in North-Western Nigeria. Relevant information were retrieved from patients’ case notes and the data was entered into a proforma and analysed using the SPSS 20 software.Results: The mean age of the patients was 45.4 ± 19.4 years, with a range of 11-80 years. Indications for urethral catheterizatio...
Series of Endocrinology, Diabetes and Metabolism, 2020
The physiologic process of micturition plays an essential role in the ability of the human body to regulate homeostasis. When the urinary system encounters an obstruction such as a foreign body within the bladder or other prostatic diseases like benign prostatic hyperplasia (BPH), alternative measures to drain the bladder is required, this birthed the use of urethral catheters & the catheterization procedure. Urethral catheterization dates to the early days of medicine and while it is mostly a routine procedure in this era, the total understanding of its indications, proper techniques, and associated complications remains an essential tool in the arsenal of a practicing physician.
Review Article: Urethral Catheters and Catheterization Techniques
2022
Review Article IntroductIon Urinary catheters are one of the most commonly used medical devices in clinical practice. [1] They have been used for over 3500 years to drain the urinary bladder when it fails to empty or for other indications. [2] In the United States of America alone, an estimated 30 million indwelling urethral catheters are sold yearly, and about 20% of hospitalized patients have a urethral catheter inserted at any given moment. [3] A urinary catheter is a tube inserted from the external urethral meatus to the bladder to drain urine from the bladder. [4] It can be used for the short term, especially in the perioperative period. Still, it can also be used long term, especially when managing people with urinary incontinence or chronic urine retention. [4] Globally, the commonly used catheter is the Foley catheter invented by an American urologist named Frederic Foley. [5] However, there are several types of urinary catheters, and their use is determined primarily by the indication for urinary catheterization. Under ideal conditions, a urinary catheter that is 100% silicone can remain in situ for up to about 12 weeks. This, however, is often not feasible due to encrustation and bacterial infection that can block the catheter or result in a medical complication. [5] Although urethral catheterization is a standard procedure performed by many cadres of health workers, it may be associated with some complications and thus may be the cause of litigations and medical malpractice consequent on certain complications that may arise such as urethral stricture, urinary tract infection, urethral erosion, sepsis, and urethral injuries. [6] MaterIals and Methods A review of the international literature was conducted using PubMed database and Google Search, using keywords such as "urethral catheter materials and types," "catheterisation techniques and complications," "difficult urethral catheterizations," "retained urethral catheter," "catheter-associated urethral Background: The urethral catheter is an essential medical device that is used in everyday medical practice worldwide. The urethral catheter has evolved over the years with several modifications and improvements to overcome the shortcomings of previous productions. With several indications, it remains one of the most commonly used devices traversing almost all specialties in the field of medicine; however, the process of urethral catheterization is occasionally challenging and may result in injury to the urethra. The attendant complications following its passage far outweigh its cost and the required skills to necessitate appropriate insertion. Knowledge of the type of urethral catheter, training with regard to its insertion, care while in situ, and competency of the attendant caregivers are required for safe catheterization. Aim: This review aims to disseminate knowledge on urethral catheter types, insertion procedures, and its attendant complications so that doctors and other health-care professionals may safely perform this necessary procedure. Materials and Methods: A review of internatinal literature was conducted using PubMed database and goggle search using key words such as urethral catheter materials and types. Result: 105 articles were identified and found suitable for the study.
Review of techniques to remove a Foley catheter when the balloon does not deflate
Urology, 2002
Failure of a Foley balloon to deflate may be caused by a faulty valve mechanism, blockage of the inflation channel, or, rarely, crystallization of the fluid within the balloon. We discuss the approach to successful management and present a stepwise algorithm to remove the catheter safely and expeditiously. UROLOGY 59: 127-129, 2002. © 2002,
A technique for non-deflating balloon catheter removal in female patients
Pan African Medical Journal, 2017
Removing a foley catheter can sometimes be a challenge, especially when it is related to non-deflating balloons which represent most of the cases. In female patients, due to their urethral anatomy, several techniques have been proposed for balloon puncture when other maneuvers have failed. We present a simple technique for non-deflating balloon catheter removal in an old female patient with a permanent indwelling foley catheter which required no anesthesia. The balloon was effectively punctured with minimal patient's discomfort. In addition, this technique was tested in several ex-vivo model catheters and found to be safe and effective. Our technique can be used for non-deflating balloon puncture in female patients in an outpatient setting without anesthesia.
IATROGENIC URETHRAL INJURY FROM IMPROPER CATHETERIZATION; A PRACTICAL WAY OUT
TIJER, 2024
Urethral catheterisation is one of the most common bedside procedures performed on hospitalized patients. Compliance with ethical standard Conflict of interest. The authors declare that they have no conflict of interest. Ethical approval Ethical approval was obtained from the ethical board of Abubakar Tafawa-Balewa University Teaching hospital, Bauchi to conduct the study.