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Medical Forum / Diseases and Disorders / Prostate Cancer / March 2006

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How to remove a foley catheter / problem removing

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juniper - 23 Mar 2006 03:58 GMT
This is a FYI post for future searchers.  I am just posting my
experience because I couldn't find much.  I did find some info on this
group, but had some problems. Although I rarely make disclaimers, in
this case I will.  Do not remove your foley cathether unless your
doctor told you that you should, and has given you instructions.

Our dr gave us the syringe, and put it on the little fork of the tube,
and demonstrated drawing out the water.  Said it should be about 10 ccs
but to continue to draw until no more would draw, to be sure the
balloon was empty.  Then, my husband was to take a deep breath, and as
he was letting it out, I was to pull the catheter out.

That part went fine, easy, smooth, but it took a while to get there,
because no water would draw out of the balloon.  *Maybe* half a cc.  I
could tell it was 'drawing' because there was resistance on the syring,
but the water wouldn't come out.  I had visions of the little side tube
that fills/unfills the balloon being clogged or otherwise non
functional.  I tried cutting off the valve and drawing that way; no
luck. Nothing.  Terrified of trying to pull the cath out with an
inflated balloon.  I cut the big tube, don't do this.  However, I had a
syringe with a needle and that fit into the little ballon side tube.
Still no water coming out.  By now it was 8 a.m. and we called the dr.
He said, "try pulling it out, don't force, just pull gently." It worked
as smooth as silk.  Apparently, sometimes the balloons leak into the
bladder and do not have the full compliment of water.

It was really easy and would have been no problem at all if I hadn't
been trying to find that 10cc of water that wasn't there at all...
judamd@aol.com - 23 Mar 2006 17:07 GMT
I don't understand all this stuff about the syringe and drawing the
water out.  My uro's nurse cut the tube with a scissors, there was a
flood of water (I suppose 10cc's), I was told to take a deep breath,
and out it slid with no problems.  I don't understand why everybody
doesn't just cut the tube.  Are they trying to save it for the next
patient?  As I think more on this, perhaps the inconsistency among
doctors and nurses is that patients who are horizontal in bed need to
have the water drawn out which probably is the standard for catheter
removal as taught in nursing schools.  However, if the patient can
stand, as I did, gravity lets it flow without syringes.
Dave Perry

> This is a FYI post for future searchers.  I am just posting my
> experience because I couldn't find much.  I did find some info on this
[quoted text clipped - 24 lines]
> It was really easy and would have been no problem at all if I hadn't
> been trying to find that 10cc of water that wasn't there at all...
I.P. Freely - 23 Mar 2006 21:07 GMT
> I don't understand all this stuff about the syringe and drawing the
> water out.  My uro's nurse cut the tube with a scissors, there was a
> flood of water (I suppose 10cc's), I was told to take a deep breath,
> and out it slid with no problems.  I don't understand why everybody
> doesn't just cut the tube.  

With the syringe, one can make certain the balloon is completely
deflated by withdrawing the plunger. If that creates a vacuum that
forcefully sucks the plunger back into the cylinder, the balloon IS
empty and can be safely withdrawn. You'd almost rather be awake during
your RP than during extracting a partially inflated balloon, is how my
doc put it.

I.P.
Tdub - 23 Mar 2006 22:31 GMT
I agree with Dave Perry. It is easy as pie to remove a catheter
yourself - just stand over the toilet or something to catch the fluid
and cut the  short tube, then pull the cath out. In some cases the cath
comes out without any pulling needed after you cut the tube.
I.P. Freely - 24 Mar 2006 00:14 GMT
> I agree with Dave Perry. It is easy as pie to remove a catheter
> yourself - just stand over the toilet or something to catch the fluid
> and cut the  short tube, then pull the cath out. In some cases the cath
> comes out without any pulling needed after you cut the tube.

I recommend stepping into the tub instead. There's no way yer aiming
that post-op toad at a small target.

I.P.
 
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