Innovative option for removal of encrusted, incarcerated longstanding indwelling Foleys catheter
Keywords:Indwelling Foley catheter, Encrustations, Stucked Foley catheter
Encrustation of indwelling Foley’s catheter is one of the common complication associated with long term indwelling catheter, encrusted catheter are often incarcerated and difficult to remove. Many methods have been evolved to remove stuck urethral catheter but each has its own complications. Here we have described a case of 90 year old male patient with chronic indwelling (7 months) Foley urethral catheter, who presented with chronic urinary retention. After initial bladder drainage with 8 Fr feeding tube by the side of catheter. Massive encrustation was fragmented by performing laser cyst lithotripsy with 6/7.5 Fr semi rigid ureter scope and 30 Watt Holmium laser. Catheter was removed intact and stone fragments evacuated. Post-operative recovery was uneventful. Surgical removal with minimally invasive technique should be treatment of choice for encrusted and stucked urethral catheter. Traditional technique of performing suprapubic cystostomy for removal of Foleys catheter are associated with various complications and should be reserved for hospital with limited facilities.
Leuck AM, Wright D, Ellingson L, Kraemer L, Kuskowski MA, Johnson JR. Complications of Foley catheters—is infection the greatest risk? J Urol. 2012;187(5):1662-6.
Balasubramanian A, Singh AR, Alagumuthu G. Isolation and identification of microbes from biofilm of urinary catheters and antimicrobial susceptibility evaluation. Asian Pac J Trop Biomed. 2012;2(3):1780-3.
Getliffe KA, Mulhall AI. The encrustation of indwelling catheters. BJU Int. 1991;67(4):337-41.
Warren JW. Catheter-associated urinary tract infections. Int J Antimicrob Agents. 2001;17(4):299-303.
Singh D, Vasudeva P, Goel A. Egg shell” in bladder: a calculus around neglected Foley balloon catheter. Indian J Urol. 2010;26(2):299.
Wang R, Neoh KG, Kang ET, Tambyah PA, Chiong E. Antifouling coating with controllable and sustained silver release for long-term inhibition of infection and encrustation in urinary catheters. J Biomed Mater Res Appl Biomater. 2015;103(3):519-28.
Rath S, Mishra TS, Sasmal PK, Meher S. Pericatheter encrustations: an unusual cause of a retained Foley catheter. BMJ Case Rep. 2016;2015212379.
Rahul SK, Raj P, Tripathi B, Kumar P, Behera S, Mohapatra S. Management of retained Foley's catheter. J Case Rep. 2017;7(1):71-4.