Traumatic foley catheter removal

Background
  • Altered male patient pulls out Foley catheter with the balloon still inflated

Clinical Features
  • Usually blood at the meatus

Differential Diagnosis

Genitourinary trauma

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

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]

See Also

References
  1. http://www.clinicalgeriatrics.com/articles/Use-%E2%80%9CDecoy%E2%80%9D-Catheter-Prevent-Traumatic-Foley-Removal
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