Traumatic foley catheter removal

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
  • If does not gently pass, consult urology

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)