The management of retained Foley catheters.
OBJECTIVE
To review our experience in managing the uncommon problem of a retained Foley catheter secondary to an inability to deflate the catheter balloon.


METHODS
A chart review of 13 patients in whom it was not possible to deflate their Foley catheter balloons was performed. We review the various techniques used to deflate their catheter balloons and present a modified algorithm.


RESULTS
In 23% of our patients, passive aspiration with a syringe successfully deflated the balloon. In 31% of our patients, cutting the catheter with or without subsequent aspiration successfully deflated the balloon. In 15% of our patients, a wire passed through the balloon port successfully deflated the balloon. Thirty one percent of our patients required more invasive maneuvers with extraluminal balloon puncture either transvaginally, transurethrally, or suprapubically.


CONCLUSIONS
There are a variety of non-invasive and invasive techniques to manage the problem of an inability to remove a Foley catheter. The urologist should be aware of these options and the appropriate order in which they should be used.
Department of Urology, Medical College of Wisconsin, Milwaukee, WI 53226, USA.
Margarita
M
Hollingsworth
Francisco
F
Quiroz
Michael L
ML
Guralnick
D000465:Algorithms; D002404:Catheterization / Q000009:adverse effects*; D004868:Equipment Failure; D005260:Female; D006801:Humans; D012189:Retrospective Studies; D014521:Urethra / Q000601:surgery; D014546:Urinary Catheterization / Q000009:adverse effects*; D013520:Urologic Surgical Procedures / Q000379:methods*; D014621:Vagina / Q000601:surgery