Main Article Content
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.
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.