Retained Urethral Catheter: Novel Method of Removal Using Trans-rectal Ultrasound Guidance
Asian Journal of Research and Reports in Urology,
Background: Urethral catheterization is a common procedure in medical practice. Retention of urethral catheter due to inability to deflate the balloon can be a distressing complication for the patient on prolonged indwelling urethral catheter. Several techniques have been devised for removal of such retained urethral catheters.
Objective: The aim of this study is to present our experience in the management of retained urethral catheters using trans-rectal ultrasound-guided balloon puncture at the Urology unit of Usmanu Danfodiyo University Teaching Hospital Sokoto, Nigeria.
Methods: This was a prospective case series of five men referred to the unit with non–deflatable urethral catheters between July 2013 and January, 2014.
Results: Five men were referred with retained urethral catheters. The mean age of the patients was 46.4 years with a range of 25-80 years. Indications for catheterization were benign prostatic hyperplasia, burns, and paraplegia. All had successful catheter removal by ultrasound-guided balloon puncture.
Conclusion: Retained urethral catheter can be successfully managed by trans-rectal ultrasound guided balloon puncture which is minimally invasive and does not require regional or general anaesthesia.
- Urethral catheterization complications
- retained urethral catheter
- trans-rectal ultrasound-guided removal.
How to Cite
Harrison SCW. Managing the urinary tract in spinal cord injury. Indian J. Urol. 2010; 26:245-252.
Nicolle LE. Catheter associated urinary tract Infections. Antimicrobial Resistance and Infection Control. 2014;3:23.
Ikeuerowo SO, Ogunade AA, Ogunlowo TO, Uzodinma CC, Esho J. The burden of prolonged indwelling catheter after acute urinary retention in Ikeja-Lagos, Nigeria. BMC Urology. 2007;7:16.
Igawa Y, Wyndale JJ, Nishizawa O. Catheterization: Possible complications and their prevention and treatment. International Journal of Urology. 2008;15: 481-485.
Hawary A, Clark L, Taylor A, Duffy P. Enterovesical fistula: A rare complication of urethral catheterization. Advances in Urology. 2009;3.
Popoola AA, Oseni I, Bamgbola KT, Babeta AL. Toxic catheters and urethral strictures: A concern about types of catheters used in resource-poor countries. African Journal of Urology. 2012;18:157-160.
Paul ABM, Simms L, Paul AE, Mahesan AA, Ramzanali A. A rare cause of death in a woman: Iatrogenic bladder rupture in a patient with an indwelling Foley catheter. Urology Case Reports. 2016;6:30-32.
Huang YM, Fu YT, Liu HY, Hu P. Undeflatable Foley Catheter Balloon caused by a Jelly Plug. Urol. ROC, 2000; 11:105-107.
Ho Christopher CK, Khandasam Y, Singam P, Goh EH, Zainuddin ZM. Encrusted and incarcerated urinary bladder: What are the options? Libyan J. med. 2010;5:5686.
Shapiro AJ, Soderdhl DW, Stack RS. The ‘Fractured Foley’: An unusual complication of short-term urethral catheterization. Hospital Physician. 2000;39-40.
McGregor TB, Sharda R. Case Reports in Urology. 2016;3.
Hollingsworth M, Quiroz F, Gurdnick ML. The management of retained Foley catheters. The Canadian Journal of Urology. 2004;11:1749-1752.
Lin TC, Shieh HL, Lin MS, Chen CT, Wu CS, Lin YC. An alternative technique for deflation of a non-deflating balloon in a small calibre F8 Foley catheter in women. JUTA. 2009;20:32-33.
Shapiro AJ, Soderdhl DW, Stack RS. Managing the non-deflating urethral catheter. J. Am Board Fam Pract. 2000; 13:116-119.
Khan Z, Khan UT, Khan I, Khan TN. A novel safe way of removing non-deflatable bladder catheters. Open Journal of Urology. 2012;2:243-245.
Lee WMM, Tsui KL, Kam CW. Transabdominal ultrasound-guided suprapubic puncture of a non-deflating Foley balloon. Hong Kong J. Emerg. Med. 2005;12:42-45.
Tyloch JF, Wieczorek AP. The standards of an ultrasound examination of the prostate gland, Part 2. J. Ultrason. 2017; 17:43-58.
Harvey CJ, Pilcher J, Richenberg J, Patel U, Frauscher F. Applications of transrectal ultrasound in prostate cancer. The British Journal of Radiology. 2012;85:S3-S17.
Yan P, Wang XY, Zhang Y. Local anaesthesia for pain control during transrectal ultrasound-guided prostate biopsy: A systematic review and meta-analysis. Journal of Pain Research. 2016;9.
Hiros M, Selimovic M, Spahovic H, Sadovic S, Spuzic-Celic E. Transrectal ultrasound-guided prostate biopsy, periprostatic local anaesthesia and pain tolerance. Bosnian journal of Basic Medical Sciences. 2010;18:68-72.
Wang N, Fu Y, Ma H, Wang J, Gao Y. Advantages of caudal block over intrarectal local anaesthesia plus periprostatic nerve block for transrectal ultrasound-guided prostate biopsy. Pak. J. Med. Sci. 2016; 32:978-982.
Obi A, Nnodi P. Low dose spinal saddle block anaesthesia (with 0.3 ml bupivacaine) for transrectal prostate biopsy- experience with 120 cases. Journal of Urology. 2014; 191(49):e596.
Grivan MS, Kumar A, Sen J, Singh K. Comparative evaluation of periprostatic nerve block and diclofenac patch in transrectal ultrasound-guided prostatic needle biopsy. Nephro-Urol Mon. 2012;4: 560-564.
Carignan A, Roussy JF, Lapointe V, Valiquette L, Sabbagh R, Peppin J. Increasing risk of infectious complications after transrectal ultrasound-guided prostate biopsies: Time to reassess antimicrobial prophylaxis. European Urology. 2012;62: 453-459.
Bootsma AMJ, Lagune Pes M, Geerlings SE, Goossens A. Antibiotics prophylaxis in urological procedures: A systematic review. Euro. Urol. 2008;54:1270-1286.
Kam SC, Choi SM, Yoon S, Choi JH, Lee SH, Hwa JS, Chung KH, Hyun JS. Complications of transrectal ultrasound-guided biopsy: Impact of prebiopsy enema. Korean J. Urol. 2014;55:732-736.
Walker JT, Singla N, Roehrborn CG. Reducing infectious complications following transrectal ultrasound-guided prostate biopsy: Systematic Review. Rev. Urol. 2016;18:73-89.
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