Foley Cases

281 Words2 Pages
A 55- year old male presented to an outpatient surgery clinic with pain in suprapubic region for 3 months due to poorly draining Foley catheter. He denied any significant medical illness and was not taking any medications. He was a nonsmoker and did not consume alcohol. He had undergone surgery 3 years ago for bladder calculi . He was put on suprapubic catheter for 2 weeks along with Foley catheter per urethral. He was discharged after removal of SPC with Foley catheter in situ and advised to follow up in a week. He did not follow up for two and half years. He had not changed the catheter during this period. He was not able to follow up because of economic condition and some problens at home.…show more content…
Abdomen was soft, non-tender and non-distended with lower midline scar of previous surgery. He had non-draining Foley which had leakage of urine. All routine blood investigations were within normal range except slight increament in serum creatinine (1.5mg/dl). Removal of the Foley catheter was tried after deflation of catheter balloon with a syringe, but it did not succeed. Plain X-ray abdomen revealed a large encrustation with radiopacity surrounding the foley’s bulb (Figure 1). The patient underwent open suprapubic cystostomy (Figure 2). The encrusted and calcified foley catheter was removed (Figure 3). His postoperative period was uneventful. The catheter was removed after two weeks and he was passing urine normally. Indwelling Foley catheters may cause several complications comprising infections, pain and hemorrhage . Occasionally, the catheter develop encrustation and lead to blockage if it is put for long time . Giant encrustations often need be removed by
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