A Novel, Safe Way of Removing Non-Deflatable Bladder Catheter

Ziauddin Khan, Umair Tahir Khan, Imran Khan, Tahir Naeem Khan

Consultant in Urology, Imam Abdulrahman bin Faisal Hospital, Dammam, Kingdom of Saudi Arabia.
Department of Pathology, Northampton General Hospital, Northampton, UK.
Department of Radiology, Kings College Hospital London, London, UK.
University of Leicester, Leicester, UK.

DOI: 10.4236/oju.2012.24044                

Abstract

Non-deflated balloon of a transurethral inserted bladder catheter is a problem that could be difficult to manage, especially in males. A variety of methods have been described to puncture the balloon and remove the catheter, though these can be associated with complications. We illustrate a simple and a safe method to overcome this problem using a flexible cystoscope under local anaesthesia.

Keywords

Balloon Dilation; Urinary Catheterization; Urinary Bladder; Catheters; Equipment Failure

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	P. C. C. Pitt, “Self Retained Catheters,” British Journal of Hospital Medicine, Vol. 4, 1970, p. 174.
[2]	T.-C. Lin, H. L. Shieh, M. S. Lin, C. T. Chen, C. S. Wu and Y. C. Lin, “An Alternative Technique for Deflation of a Non-Deflating Balloon in a Small Calibre F8 Foley Catheter in Women,” JTUA, Vol. 20, No. 1, 2009, pp. 32-33.
[3]	R. Moskovich, “Suprapubic Puncture for Non-Deflating Urethral Balloon. A Safe Method of Deflation,” Journal of the Royal College of Surgeons of Edinburgh, Vol. 29, No. 3, 1984, pp. 181-183.
[4]	L. E. Moffat, C. Teo and I. Dawson, “Ultrasound in Management of Undeflatable Foley Catheter Balloon,” Urology, Vol. 26, No. 1, 1985, p. 79. doi:10.1016/0090-4295(85)90265-1
[5]	R. K. Godwin and S. M. Lloyd, “The Non-Deflating Foley Catheter,” British Journal of Clinical Practice, Vol. 44, No. 11, 1990, pp. 438-440.
[6]	H. T. Bui, D. Agarwal and A. Clarke, “An Easy Method of Deflating a Blocked Foley Balloon,” Australian New Zeal K Surgery, Vol. 72, No. 11, 2002, p. 843. doi:10.1046/j.1445-2197.2002.02551.x
[7]	K. J. O’Flynn, D. G. Thomas and A. Hardy, “Harpoon Device for the Removal of Obstructed Balloon Catheters,” British Journal of Urology, Vol. 69, No. 2, 1992, p. 217. doi:10.1111/j.1464-410X.1992.tb15511.x
[8]	A. Saxena, S. Khanna and B. K. Vohra, “Endoscopic Management of the Undeflateable Foley’s Catheter Balloon,” British Journal of Urology, Vol. 69, No. 2, 1992, pp. 217-218. doi:10.1111/j.1464-410X.1992.tb15512.x
[9]	R. Patterson, B. Little, J. Tolan and C. Sweeney, “How to Manage a Urinary Catheter Balloon That Will Not Deflate,” International Journal of Urology & Nephrology, Vol. 38, No. 1, 2006, pp. 57-61. doi:10.1007/s11255-005-2945-7
[10]	S. St Luce, A. C. Ninan, J. A. Hall, I. J. Kimberl, J. A. Petros and M. M. Issa, “Role of Transrectal Ultrasonography in Diagnosis and Treatment of Retained Foley Catheter,” Urology, Vol. 65, No. 5, 2005, p. 1001. doi:10.1016/j.urology.2004.11.010
[11]	H. U. Eickinberg, M. Amin and J. Clark, “Non-Deflating Foley’s Catheter,” International Journal of Urology & Nephrology, Vol. 8, No. 2, 1976, pp. 171-173. doi:10.1007/BF02082214
[12]	S. Khanna, “Preliminary Results for Toluene for Retained Urinary Catheters,” European Urology, Vol. 19, No. 2, 1991, pp. 169-170.
[13]	T. S. Huseyin and S. M. Moalypour, “A Solution to the Non-Deflating Balloon of a Suprapubic Catheter,” Emergency Medicine Journal, Vol. 19, No. 4, 2002, p. 354. doi:10.1136/emj.19.4.354
[14]	S. C. Sood and H. Sahota, “Removing Obstructed Balloon Catheter,” British Medical Journal, Vol. 4, No. 5842, 1972, p. 735. doi:10.1136/bmj.4.5842.735-d