Traumatic foley catheter removal: Difference between revisions
(Created page with "==Background== *Altered male patient pulls out Foley catheter with the balloon still inflated ==Diagnosis== *Clinical *Usuallyblood at the meatus ==Management== *Little pro...") |
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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 | ||
Revision as of 05:52, 9 December 2013
Background
- Altered male patient pulls out Foley catheter with the balloon still inflated
Diagnosis
- Clinical
- Usuallyblood at the meatus
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
Prevention
- Large ace bandage around their leg to obscure the majority of the catheter
- Decoy Catheter(s)
- Tuck real catheter between 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) [1]