The Journal of Spinal Cord Medicine, 2023 · DOI: 10.1080/10790268.2022.2028375 · Published: July 1, 2023
This study investigates what happens when Foley catheter balloons are intentionally burst to remove a retained catheter, focusing on how often the balloon breaks into pieces and how much fluid it takes to make them burst. The research also looks at whether the type of material (latex vs. silicone) and the size of the catheter affect these outcomes. The study emphasizes special considerations for people with spinal cord injuries, who may be at risk for autonomic dysreflexia during this procedure.
Following balloon rupture, especially with latex catheters, cystoscopy is crucial to remove retained fragments and prevent complications like stone formation.
In individuals with SCI at or above T6, overinflation should be used cautiously due to the risk of autonomic dysreflexia, requiring careful monitoring and experienced personnel.
Due to the likelihood of bladder colonization in individuals with indwelling catheters, empiric antibiotics should be considered before catheter manipulation to prevent UTIs.