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    How do I take out a foley?

    Hi SCI nurses, everybody.

    this is kind of naive, but I need to know exactly how to remove a foley. I had surgery wednesday for a DIVU?, an incision and removal of a urethral sticture. They put a foley in afterwards, and I'm to remove it in the morning.

    I was out of it when the nurse told me how to do it, so I don't remember exactly. I know it can't be too difficult, but due to the sensitive nature of the body part involved , I thought I'd get some advice.

    What I remember was I am to insert the syringe into the catheter tube, and that's all I recall.

    How do I know if I inserted the syringe correctly? Then do I just pull the syringe plunger thing out? The uro who did the surgery is already on vacation, so I thought I'd get some help here.

    Thanks for any help
    Please donate a dollar a day at http://justadollarplease.org.
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    Thanks!

    #2
    Just sort of stick the syringe in and twist it to seat it securely. Much of the water will fill it automatically from the pressure against the balloon. Then pull back on the plunger to make sure all the water is out. Then just pull the catheter out gently.

    Comment


      #3
      Ok most Foleys you of course have the clear tube that the urine drains from. Leave this intact, you may even have red tape where the catheter attaches to the tube. Now next to this you will have a port where you can attach a syringe to. When you want to take the catheter out, attach the syringe and pull the water out--make sure you get all of it out usually around 10-20mls but keep pulling fluid out as long as you can. Once you have gotten this fluid out (this is what fills the balloon in your bladder) you can gently pull the Foley out.

      Some people will just cut the port off and let the water drain off, but please do not cut the port, while 99 percent of the time it will drain the balloon, if something happened that it didnt you will have a headache.

      Comment


        #4
        Yeah like he said, just twist the Luer(?) lock syringe until it is attached to the foley valve thing. The pressure may start slowly filling the syringe with the water from the foley's balloon, but it helps to pull gently on the syringe plunger to move the process along. Once it won't pull any more water out unscrew the syringe. Gently start to pull the foley out. Sometimes the foley dribbles a little water on you as it's coming completely out, so either have something to catch that or just pinch the tube as you're removing it.
        De Omnibus Dubitandum

        Comment


          #5
          You have gotten the correct advice. You push the empty syringe on the branch of the catheter Y that does not have the bag connected. Draw out all the water...be sure to get it all. Don't cut off the arm and let the water drain. This is an old method, and often not successful, and then you can't hook up a syringe to such it out.

          We nearly always leave a urethral catheter in for 2 weeks to heal a false passage or with any urethral reconstruction. I hope that this is not too soon for your removal.

          (KLD)
          The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

          Comment


            #6
            cutting the y part with the port allows the balloon to deflate. i've done this many times. the valve is at the bottom of that part (usually light orange color). this is the only thing keeping balloon inflated with water.

            as others said, the needleless syringe. all it has is a couple mm stub which disengages this valve.

            i was typing at same time as KLD. she knows more than me. but cutting it has never failed for me. i usually use syringe method tho.
            Last edited by cass; 24 Jul 2006, 12:20 AM.

            Comment


              #7
              Cutting it off does work MOST of the time, but when you try it and the water does not drain, then you are stuck. A balloon that does not deflate (it does happen) this way may require a visit to the ER or urologist to get it deflated. It is safer to do it with a syringe.

              (KLD)
              The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

              Comment


                #8
                Originally posted by noryn
                usually around 10-20mls but keep pulling fluid out as long as you can.

                WOW!!
                I've always used 5-8ml, can't imagine that much!

                There are quite a few different colors of foley catheters.

                I'm hoping to find a glow in the dark one that whistles

                https://www.facebook.com/john.baxter.1213986

                Comment


                  #9
                  i use 5cc balloons, which really hold 10 cc...wish somebody would explain that!

                  Comment


                    #10
                    Originally posted by CapnGimp
                    WOW!!
                    I've always used 5-8ml, can't imagine that much!

                    There are quite a few different colors of foley catheters.

                    I'm hoping to find a glow in the dark one that whistles
                    I think I use 10ml but if someone else puts it in there always just pull until you dont get anymore. I have seen more than a few nurses put 20+mls in there. Sometimes they dont know better other times their rationale is off the marker, ie lets see I bet if I add 10 mls to the balloon it wont come out or will quit leaking.

                    Comment


                      #11
                      Capn"G" ...you are too much ahahah! Funny!!!

                      I'll bet you even have a skull wearing an eye patch for a Night Light!

                      I appreciate your humor, I even have the usual "Welcome" mat at my
                      front door.....only it says....Go Away!

                      Q
                      Your life is what you make it, and only you have that choice!

                      Comment


                        #12
                        Thanks everybody for your advice. It worked just like ya'll said it would. The syringe was a 10ml syringe, and it filled up all the way, so I emptied it and stuck it in again and got a little more balloon fluid out...then the catheter slid right out just fine.

                        Thanks again
                        Please donate a dollar a day at http://justadollarplease.org.
                        Copy and paste this message to the bottom of your signature.

                        Thanks!

                        Comment


                          #13
                          Visit to ER yesterday for crazy AD/BP spike due to inability to get catheter in. They eventually got a foley in, drained ~1200mL. Excellent ER doc did bloodwork/urine check, told me liver kidneys electrolytes all good, even did prostate exam (ok) w/massage to take a second urine sample to check WBCC for possible prostatitis. Sent home with Cipro because of marginal possibility of UTI. Need to go to family doc for results of C&S and 2nd sample (prostatitis).

                          I have no experience with foley, have IC'd since injury 3 years ago. Can I get this damn thing out of me now, or should I wait until the 2 week course of cipro is done? ER doc said 2 days would be good, 5 days better, etc. Family doc is clueless, I can already see the expression on her face.

                          Without the usual jgnl vetericyn spiel (yes, I use it for cath lube) please someone lend me advice. I hate everything about this piss-sack. Seems to me I don't really need it, the only reason I went AD is because of incredibly full bladder and inability to drain. Urodynamics 3 years ago said I have high pressure/low volume. Gets better and worse, sometimes have to use a coude tip to get in. Have only once went so AD before, got catheter in just as paramedics were at my door.

                          I realize trip to uro is long overdue. Going to get referral once at family doc Friday. I really just looking to know if I should have this foley removed when there, I don't have a Luer syringe and am really not too keen on removal the foley myself.

                          Thoughts?

                          Comment


                            #14
                            Originally posted by tooley View Post
                            Visit to ER yesterday for crazy AD/BP spike due to inability to get catheter in. They eventually got a foley in, drained ~1200mL. Excellent ER doc did bloodwork/urine check, told me liver kidneys electrolytes all good, even did prostate exam (ok) w/massage to take a second urine sample to check WBCC for possible prostatitis. Sent home with Cipro because of marginal possibility of UTI. Need to go to family doc for results of C&S and 2nd sample (prostatitis).

                            I have no experience with foley, have IC'd since injury 3 years ago. Can I get this damn thing out of me now, or should I wait until the 2 week course of cipro is done? ER doc said 2 days would be good, 5 days better, etc. Family doc is clueless, I can already see the expression on her face.

                            Without the usual jgnl (that is "gjnl") vetericyn spiel (yes, I use it for cath lube) please someone lend me advice. I hate everything about this piss-sack. Seems to me I don't really need it, the only reason I went AD is because of incredibly full bladder and inability to drain. Urodynamics 3 years ago said I have high pressure/low volume. Gets better and worse, sometimes have to use a coude tip to get in. Have only once went so AD before, got catheter in just as paramedics were at my door.

                            I realize trip to uro is long overdue. Going to get referral once at family doc Friday. I really just looking to know if I should have this foley removed when there, I don't have a Luer syringe and am really not too keen on removal the foley myself.

                            Thoughts?
                            Did the ER doctor give you any indication as to why you may not have been able to get the catheter through the urethra into your bladder, i.e., strictures, false passage? If he said 2-5 days, he had a reason aside from making you irritable and uncomfortable.

                            Why are the results of the of the urine and prostae tests being sent to a family doctor? I would want these results to go to my urologist. I would want my urologist to be plugged into any problems I might be having with my IC program and I would want his evaluation of all test results. That said, call the hospital and request results of these tests and ER doctor's clinical notes sent to your urologist. Call the urologist to advise him the tests are being sent to him, that you had a problem with IC that sent you to the ER, you are wearing a foley, and request an appointment to have the foley removed and this IC problem discussed. At this point, I get the impression that you are clueless about the cause of this problem. You need to understand what caused the problem and how to deal with it in the future, should it happen again.

                            After reading your post, I would not have offered the "usual gjnl Vetericyn spiel," with or without your admonition. Not being able to insert an intermittent catheter into the bladder has nothing to do with the reasons you would use Vetericyn. I'm sorry if my discussions of Vetericyn disturb you. The truth of the matter, is that many people on this forum have benefitted from learning about Vetericyn from me and others who use it.

                            All the best,
                            GJ

                            Comment


                              #15
                              Follow the ER doc's instructions. If he said to leave the foley in, you should do it, unless your physician tells you otherwise. Make sure that you finish your antibiotic, drink plenty of fluids and see your urologist (if you have one) or your family doc soon.
                              CKF
                              The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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