R N Mohapatra1. 1. Department of Neurology, Spinal Cord Injury Center, University of South Florida, James A Haley Veterans Hospital, Tampa, FL 33612, USA. raj.mohapatra@va.gov
Abstract
STUDY DESIGN: To visualize residual urine in a bladder using a regular Foley catheter and then using a modified Foley catheter. OBJECTIVES: To determine whether a modified Foley catheter eliminates or reduces a catheter-associated deposition of residual urine around the balloon and whether this reduction eliminates catheter leakage. SETTINGS: A patient with chronic spinal cord injury using a Foley catheter and experiencing significant refractory urine leakage around the catheter. METHODS: The design of a Foley catheter and the way it drains lead to the constant presence of small amounts of residual urine at the base, surrounding the balloon. The Foley catheter was modified using a cook catheter punch to make two extra holes just below the balloon. RESULTS: A cystogram of an unmodified Foley catheter showed the presence of residual urine around the Foley balloon. A cystogram of a modified Foley catheter eliminated this residual urine around the balloon. After the modification there was no more leakage around the Foley catheter. CONCLUSION: Modification of the catheter, as described, eliminated the residual urine around the catheter balloon and eliminated clinical urine leakage around the Foley catheter.
STUDY DESIGN: To visualize residual urine in a bladder using a regular Foley catheter and then using a modified Foley catheter. OBJECTIVES: To determine whether a modified Foley catheter eliminates or reduces a catheter-associated deposition of residual urine around the balloon and whether this reduction eliminates catheter leakage. SETTINGS: A patient with chronic spinal cord injury using a Foley catheter and experiencing significant refractory urine leakage around the catheter. METHODS: The design of a Foley catheter and the way it drains lead to the constant presence of small amounts of residual urine at the base, surrounding the balloon. The Foley catheter was modified using a cook catheter punch to make two extra holes just below the balloon. RESULTS: A cystogram of an unmodified Foley catheter showed the presence of residual urine around the Foley balloon. A cystogram of a modified Foley catheter eliminated this residual urine around the balloon. After the modification there was no more leakage around the Foley catheter. CONCLUSION: Modification of the catheter, as described, eliminated the residual urine around the catheter balloon and eliminated clinical urine leakage around the Foley catheter.