Ngôn ngữ sử dụng
Cách trích dẫn
Tải xuống
Tóm tắt
Introduction: Intravesical gemcitabine instillation using a Foley catheter is a common therapeutic approach in bladder cancer management. Although rare, failure of Foley catheter balloon deflation can complicate clinical management and compromise patient safety.
Case presentation: A 46-year-old male was admitted for intravesical gemcitabine instillation. A 14F Foley catheter was inserted, and the balloon was inflated with 10 ml of sterile water before gemcitabine was instilled. At the end of the dwell time, the nurse was unable to aspirate the balloon fluid, preventing catheter removal. Multiple attempts-including syringe replacement, stronger suction, and reinflation-were unsuccessful. The primary doctor and a urologist were consulted. Balloon tubing was cut, but no fluid was released. While awaiting cystoscopic intervention, spontaneous leakage occurred, allowing easy removal of the catheter. Post-removal inspection revealed normal balloon function. The patient was addmited for overnight observation; he voided normally without dysuria or pain and was discharged in the next monring, completing treatment of intravesical chemotherpy.
Conclusion: The cause of balloon deflation failure in this case remained unclear, but the problem was resolved spontaneously. Multidisciplinary collaboration ensured comprehensive evaluation and avoided unnecessary invasive intervention. This case also highlights the importance of cytotoxic handling precautions when cutting the Foley balloon channel during intravesical chemotherapy.
Từ khóa
Tài liệu tham khảo
Han MA, Maisch P, Jung JH, Hwang JE, Narayan V, Cleves A, et al. Intravesical gemcitabine for non-muscle invasive bladder cancer. Cochrane Database Syst Rev. 2021/06/15. 2021;6(6):Cd009294. doi: 10.1002/14651858.CD009294.pub2.
Bladder intravesical gemcitabine [Internet]. Vol. 2025. Cancer Institute NSW: eviQ; Available from: https://www.eviq.org.au/medical-oncology/urogenital/bladder-and-urothelial/1758-bladder-intravesical-gemcitabine
Cancer BC. BC Cancer Protocol Summary for Intravesical Therapy for Non-MuscleInvasive Bladder Cancer Using Gemcitabine [Internet]. BC Cancer; Available from: http://www.bccancer.bc.ca/chemotherapy-protocols-site/Documents/Genitourinary/GUBGEM_Protocol.pdf
Rath S, Mishra TS, Sasmal PK, Meher S. Pericatheter encrustations: an unusual cause of a retained Foley catheter. BMJ Case Rep. 2016/01/16. 2016;2016. doi: 10.1136/bcr-2015-212379.
Schaeffer AJ. Placement and management of urinary catheters in adults [Internet]. Jerome P Richie WC, editor. Vol. 2025. Uptodate; 2024.
Hollingsworth M, Quiroz F, Guralnick ML. The management of retained Foley catheters. Can J Urol. 2004/03/09. 2004;11(1):2163–6.
Moffat L, Teo C, Dawson I. Ultrasound in management of undeflatable Foley catheter balloon. Urology. 1985 Jul;26(1):79. doi: 10.1016/0090-4295(85)90265-1.
Daneshmand S, Youssefzadeh D, Skinner E. Review of techniques to remove a Foley catheter when the balloon does not deflate. Urology. 2002 Jan;59(1):127-9. doi: 10.1016/s0090-4295(01)01483-2.
Amin E, Amin M. Management of Nondeflatable Foley Balloon Catheter. J Am Geriatr Soc. 1987;35. https://doi.org/10.1111/j.1532-5415.1987.tb02344.x
Hui J, Ng C, Chan L, Chan PS. Can normal saline be used to fill the balloon of a Foley catheter? The experience of a prospective randomized study in China. Int J Urol. 2004 Oct;11(10):845-7. doi: 10.1111/j.1442-2042.2004.00906.x.
Türk H, Arslan E, Ün S, Karabıçak M, Tongal A. A New Method And An Algorithm For Non-Deflating Foley Catheter Balloons. Harran Üniversitesi Tıp Fakültesi Derg. 2024; https://doi.org/10.35440/hutfd.1574370.
Inamasu J, Hirose Y, Nakatsukasa M. Spinal cord injury-induced heterotopic calcification on a balloon of a Foley catheter. Neurology and Clinical Neuroscience, 2018;6(5):155. https://doi.org/10.1111/NCN3.12217.
Qin P, Liu W, Yang BB, Lu K, Qian JH, Hu JS, et al. Removal of a Foley catheter misplaced into the ureter by percutaneous puncture: a rare case report. BMC Urol. 2022;22. doi: 10.1186/s12894-022-01057-w.
Prasad V, Kumar A, Medam Nm, Reddy Y, Nair K. Inadvertent insertion of foley catheter into the ureter in an elderly female. J Assoc South Urol. 2024; DOI: 10.4103/JASU.JASU_1_23.
Jallad S, Shah A, Bhardwa J. Knotted urethral catheter: an unusual complication in adults. BMJ Case Rep. 2017 Oct 10:2017:bcr2017221498. doi: 10.1136/bcr-2017-221498.
Chen TY, Tsai MJ, Chang LC, Wu PC. Co-delivery of cisplatin and gemcitabine via viscous nanoemulsion for potential synergistic intravesical chemotherapy. Pharmaceutics. 2020;12(10):1–11. doi: 10.3390/pharmaceutics12100949.
Stickler DJ. Clinical complications of urinary catheters caused by crystalline biofilms: Something needs to be done. J Intern Med. 2014;276(2):120–9. doi: 10.1111/joim.12220.
Shapiro AJ, Soderdahl DW, Stack RS, North Jr. JH. Managing the nondeflating urethral catheter. J Am Board Fam Pract. 2000/04/14. 2000;13(2):116–9. doi: 10.3122/15572625-13-2-116.
Gülmez I, Ekmekcioglu O, Karacagil M. A comparison of various methods to burst Foley catheter balloons and the risk of free-fragment formation. Br J Urol. 1996/05/01. 1996;77(5):716–8. doi: 10.1046/j.1464-410x.1996.98017.x.
công trình này được cấp phép theo Creative Commons Attribution-phi thương mại 4.0 International Giấy phép .
Bản quyền (c) 2025 Tạp chí Khoa học Điều dưỡng