Huge encrustations as a consequence of longterm indwelling urethral catheter: A uncommon case report.
Ann Med Surg (Lond). 2018 Oct;34:14-16
Authors: Bhandari TR, Shahi S, Mahaseth N
Longterm indwelling urethral catheter may cause a number of problems equivalent to decrease urinary tract infections, tissue injury, ache, hemorrhage and encrustation of catheter resulting in blockage. A 55- yr outdated male introduced with suprapubic ache for 3 months owing to poorly draining Foley catheter. He had undergone surgical procedure for bladder calculi two and half a years again. He had been discharged with Foley catheter. He didn’t present up on the hospital for 2 and half years. The catheter was by no means modified throughout this era. Plain X-ray stomach revealed a big encrustation with radiopacity surrounding the foley’s bulb. Open suprapubic cystostomy was carried out. The intact Foley catheter with encrusted bulb was eliminated. His postoperative interval was uneventful. Surgical removing is the one remedy of selection for uncommon huge encrustations in long-term indwelling urethral catheter. Minimally invasive approach is getting reputation, nevertheless we carried out open cystostomy and removing as a result of lack of knowledge and devices in our hospital setting. Catheterization below aseptic situation, frequent catheter change, early remedy of urinary an infection and correct affected person training on catheter hygiene are few strategies that may scale back the problems of longterm indwelling urinary catheter.
PMID: 30186600 [PubMed]