098. Complications of Urologic Procedures and Devices

Foley Catheter

Catheter types: Standard Double Lumen, Coude – anterior bent, for BPH, Silicone – more rigid – go down in size, good for strictures, also good with latex allergies.
Male Urethra: S-shaped curve. About 20cm. Female Urethra: 4cm.
4 step approach:
  1. Relax them – relax external sphincter. deep breaths, viscous lidocaine (urojet).
  2. Position them – elongate penis at 60-90 degrees.
  3. Good technique – slow, steady pressure. Insert to Y-hub and then inflate. STOP if pain.
  4. Obstruction – BPH patients: coude or larger catheter. Strictures: use silicone catheter. If not, call urology.

References

The Foley that Won’t Go In, Ramin Tabatabai, Essentials of EM 2014

098. Complications of Urologic Procedures and Devices

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