Large 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 could cause a number of issues corresponding to decrease urinary tract infections, tissue injury, ache, hemorrhage and encrustation of catheter resulting in blockage. A 55- yr previous 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 elimination is the one therapy of selection for uncommon huge encrustations in long-term indwelling urethral catheter. Minimally invasive approach is getting reputation, nonetheless we carried out open cystostomy and elimination because of the lack of know-how and devices in our hospital setting. Catheterization underneath aseptic situation, frequent catheter change, early therapy of urinary an infection and correct affected person training on catheter hygiene are few strategies that may cut back the issues of longterm indwelling urinary catheter.
PMID: 30186600 [PubMed]