Glidewire-assisted Foley catheter placement: a simple and safe technique for difficult male catheterization

Introduction: To propose a novel cannulation technique for difficult urethral catheterization procedures. Technique: The sheath tip of an intravenous catheter is cut off, replaced to the needle tip and pushed through the distal drainage side hole to Foley catheter tip, and finally withdrawn for cannulation. In situations making urethral catheterization difficult, a guide wire is placed under direct vision. The modified Foley catheter is slid successfully over the guide wire from its distal end throughout the urethral passage into the bladder. Results: The modified Foley catheter was used successfully in our clinic in cases requiring difficult urethral catheterization. Conclusions: This easy and rapid modification of a Foley catheter may minimize the potential complications of blind catheter placement in standard catheterization.

Download Full-text

Impact of Foley Catheter Placement by Medical Students on Rates of Postoperative Urinary Tract Infection

Journal of the American College of Surgeons ◽

10.1016/j.jamcollsurg.2018.08.182 ◽

2018 ◽

Vol 227 (5) ◽

pp. 496-501 ◽

Cited By ~ 2

Author(s):

Ibrahim Sultan ◽

Ahmet Kilic ◽

George Arnaoutakis ◽

Arman Kilic

Keyword(s):

Urinary Tract Infection ◽

Urinary Tract ◽

Medical Students ◽

Tract Infection ◽

Foley Catheter ◽

Catheter Placement

Download Full-text

Labor and Delivery Outcomes with the Sequential Use of Misoprostol Followed by Cervical Foley Catheter

American Journal of Perinatology ◽

10.1055/s-0040-1713818 ◽

2020 ◽

Author(s):

Maeve K. Hopkins ◽

Rebecca F. Hamm ◽

Sindhu K. Srinivas ◽

Lisa D. Levine

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Neonatal Intensive Care Unit ◽

Maternal Morbidity ◽

Neonatal Intensive Care ◽

Foley Catheter ◽

Catheter Placement ◽

Increased Risk ◽

Nicu Admission ◽

Time To Delivery

Objective Studies demonstrate shorter time to delivery with concurrent use of misoprostol and cervical Foley catheter. However, concurrent placement may not be feasible. If misoprostol is used to start an induction, little is known regarding the benefit of sequentially using Foley catheter. We examine obstetrical outcomes in women with Foley catheter placed after misoprostol compared with those only requiring misoprostol. Study design Retrospective cohort study of singleton pregnancies, intact membranes, and an unfavorable cervix (Bishop score of ≤6 and dilation ≤2 cm) undergoing term induction May 2013 to June 2015. We compared obstetrical outcomes between women receiving misoprostol alone versus those that had a Foley catheter placed after misoprostol. Outcomes are mode of delivery, time to delivery, chorioamnionitis, admission to neonatal intensive care unit, and maternal morbidity. Chi-square and Fisher's exact tests were used for categorical variables, Mann–Whitney U-tests compared continuous variables. Results Among 364 women, 281 began induction with misoprostol alone. A total of 135 (48%) subsequently had a Foley catheter placed. Characteristics were similar between the groups, although nulliparity and cervical dilation <1 cm at start of induction were more likely to have subsequent Foley catheter. Women with Foley catheter placement after misoprostol had a longer median time to delivery (15 vs. 11 hours, p < 0.001), twofold higher rate of cesarean (42 vs. 26%, odds ratio: 2.1, 95% confidence interval: 1.26–3.44, p = 0.004), and increased risk of neonatal intensive care unit (NICU) admission (21 vs. 11%, p = 0.024). There was a nonsignificant increased risk of chorioamnionitis (12 vs. 7%, p = 0.1) and maternal morbidity (15 vs. 8%, p = 0.08) in the misoprostol followed by Foley catheter group. Conclusion In women receiving misoprostol for induction, nulliparas and those with dilation <1 cm are more likely to have subsequent Foley catheter placement. Sequential use of cervical Foley catheter after misoprostol is associated with longer labor, higher cesarean rate, and increased NICU admission. Requirement of Foley catheter after misoprostol confers higher risk and may guide counseling. Key Points

Download Full-text

Transurethral Retrograde Approach to Pelvic Abscess Drainage in Post-cystectomy Patients

10.1093/med/9780199986071.003.0100 ◽

2018 ◽

Author(s):

George Carberry ◽

Orhan Ozkan

Keyword(s):

Radical Cystectomy ◽

Foley Catheter ◽

Pelvic Abscess ◽

Catheter Placement ◽

Retrograde Approach ◽

Potential Complication ◽

Abscess Drainage ◽

Drainage Catheter ◽

Drain Placement ◽

Prostatic Abscesses

One potential complication of radical cystectomy is the development of a pelvic abscess requiring drainage. Transurethral drainage has been described for the treatment of prostatic abscesses but is particularly well tolerated in patients for whom pelvic fluid drainage is needed following radical cystectomy. Although percutaneous, transrectal, or transvaginal approaches to pelvic drain placement are possible, the transurethral route provides a fully epithelialized tract through which the drainage catheter can traverse and which does not require unnecessary tissue puncture. Although blind Foley catheter placement could potentially be used for transurethral drainage in these patients, urologic surgeons have preferred fluoroscopically guided drain placement to ensure atraumatic placement and optimal drain positioning. In a stepwise fashion, this chapter describes how to perform fluoroscopy-guided transurethral abscess drainage in patients following cystectomy.

Download Full-text