Traumatic foley catheter removal: Difference between revisions
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==Background== | ==Background== | ||
*Altered male patient pulls out Foley catheter with the balloon still inflated | [[File:Sobo 1909 571.png|thumb|Penis anatomy]] | ||
[[File:Gray1142.png|thumb|The human male urethra laid open on its anterior (upper) surface.]] | |||
[[File:Gray1155.png|thumb|Transverse section of the penis.]] | |||
*Altered male patient pulls out Foley catheter with the balloon still inflated | |||
==Diagnosis== | ==Clinical Features== | ||
*Usually blood at the meatus | |||
==Differential Diagnosis== | |||
{{Lower GU trauma DDX}} | |||
==Evaluation== | |||
*Clinical | *Clinical | ||
==Management== | ==Management== | ||
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**Gently pass another Foley catheter | **Gently pass another Foley catheter | ||
***Avoids urethral obstruction by tears or clots and allows healing of urethral trauma | ***Avoids urethral obstruction by tears or clots and allows healing of urethral trauma | ||
***Irrigate bladder to remove blood | |||
**If does not gently pass, consult urology | **If does not gently pass, consult urology | ||
==Disposition== | |||
==Prevention== | ==Prevention== | ||
*Large ace bandage around | *Large ace bandage around patient's leg to obscure the majority of the catheter | ||
*Decoy Catheter(s) | *Decoy Catheter(s) | ||
**Tuck real catheter between legs and taped it to the back of leg | **Tuck real catheter between patient's legs and taped it to the back of leg | ||
**Tuck one to multiple dummy Foleys that the can reach (and intermittently pull on to keep busy) <ref>http://www.clinicalgeriatrics.com/articles/Use-%E2%80%9CDecoy%E2%80%9D-Catheter-Prevent-Traumatic-Foley-Removal</ref> | **Tuck one to multiple dummy Foleys that the patient can reach (and intermittently pull on to keep busy) <ref>http://www.clinicalgeriatrics.com/articles/Use-%E2%80%9CDecoy%E2%80%9D-Catheter-Prevent-Traumatic-Foley-Removal</ref> | ||
==See Also== | ==See Also== | ||
*[[Genitourinary Trauma]] | |||
==External Links== | |||
==References== | |||
<references/> | <references/> | ||
[[Category: | [[Category:Urology]] | ||
Latest revision as of 17:39, 3 May 2023
Background
- Altered male patient pulls out Foley catheter with the balloon still inflated
Clinical Features
- Usually blood at the meatus
Differential Diagnosis
Genitourinary Trauma
- Urinary system
- Genital
- Other
- Child abuse
- Pelvic fracture (often accompanies)
- Sexual assault
Evaluation
- Clinical
Management
- Little prospective epidemiological data on type of injury or management
- Does not usually result in massive urethral injury
- Suggested approach
- Gently pass another Foley catheter
- Avoids urethral obstruction by tears or clots and allows healing of urethral trauma
- Irrigate bladder to remove blood
- If does not gently pass, consult urology
- Gently pass another Foley catheter
Disposition
Prevention
- Large ace bandage around patient's leg to obscure the majority of the catheter
- Decoy Catheter(s)
- Tuck real catheter between patient's legs and taped it to the back of leg
- Tuck one to multiple dummy Foleys that the patient can reach (and intermittently pull on to keep busy) [1]