Traumatic foley catheter removal: Difference between revisions
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*Altered male patient pulls out Foley catheter with the balloon still inflated | *Altered male patient pulls out Foley catheter with the balloon still inflated | ||
== | ==Clinical Features== | ||
*Usually blood at the meatus | *Usually blood at the meatus | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Lower GU trauma DDX}} | {{Lower GU trauma DDX}} | ||
==Diagnosis== | |||
*Clinical | |||
==Management== | ==Management== | ||
Revision as of 04:37, 18 June 2015
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
Diagnosis
- 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
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]