View source for Traumatic foley catheter removal

==Background==
[[File:Sobo 1909 571.png|thumb|Penis anatomy]]
[[File:Gray1142.png|thumb|The human male urethra laid open on its anterior (upper) surface.]]
[[File:Gray1155.png|thumb|Transverse section of the penis.]]
*Altered male patient pulls out Foley catheter with the balloon still inflated

==Clinical Features==
*Usually blood at the meatus

==Differential Diagnosis==
{{Lower GU trauma DDX}}

==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

==Disposition==

==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) <ref>http://www.clinicalgeriatrics.com/articles/Use-%E2%80%9CDecoy%E2%80%9D-Catheter-Prevent-Traumatic-Foley-Removal</ref>

==See Also==
*[[Genitourinary Trauma]]

==External Links==

==References==
<references/>

[[Category:Urology]]