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Journal of Case Reports
Management of Retained Foley’s Catheter

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Sandip Kumar Rahul1, Prince Raj2, Balkrishna Tripathi2, Parveen Kumar2, Susama Behera1, Satyabir Mohapatra1
1Department of Surgery, Nehru Shatabdi Central Hospital, Talcher, Angul, Odisha 759103, India; 2Department of Paediatric Surgery, Maulana Azad Medical College and associated Lok Nayak Hospital, New Delhi, India.
Corresponding Author:
Dr. Sandip Kumar Rahul
Email: sandeep.rahul65@gmail.com
Received: 14-OCT-2016 Accepted: 23-JAN-2017 Published Online: 20-FEB-2017
DOI: http://dx.doi.org/10.17659/01.2017.0020
Abstract
Background: This study was planned to analyze the various methods used to manage retained Foley’s catheter. Methods: A retrospective study was done on 20 patients of retained Foley’s catheter at two different centers.  Results:  9 out of 20 (45%) patients had faults in the valved side port and could be managed by simply cutting it. Two patients were managed by guide-wire insertion into the side port draining the balloon, while one adult patient was managed by mineral oil injection into the side port but developed hematuria. 35% patients needed ultrasound guided trans-abdominal balloon rupture and had no subsequent complications. In one adult female patient, non-deflating balloon could be ruptured by passing a transurethral needle. Conclusion:  The ideal method used depends on identifying the site of the problem in the side port. Cutting of valved side port channel with or without aspiration, guidewire insertion, chemical injection or rarely extra-luminal balloon rupture techniques are commonly used methods of management. 
Keywords : Catheterization, Hematuria, Mineral Oil, Urinary Bladder, Urinary Catheterization.
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