Mechanical failure of a Foley-type catheter is an unusual occurrence today. A description of a defect similar to the one described here is not reported in the previous literature.
Report of Case
At suprapubic cystostomy for stone in a male patient, Foley-type urethral and suprapubic catheters were left indwelling. Both catheters drained well during and after surgery. On the third postoperative day there was spontaneous cessation of drainage from the urethral catheter; all urine being carried by the suprapubic tube. Attempted irrigation of the urethral catheter revealed that it was obstructed. The inflation-spur was cut off with the intention of deflating the bag of the catheter for its removal. There was no return of the inflation fluid, even with forceful aspiration. Neither could more water be forced into the bag to over-distend and burst it. Various observers conducted a variety of manipulations, but no means of extracting the catheter could
PRIBE WA, OCKULY EA. An Unusual Case of Serious Foley Catheter Failure. Arch Surg. 1964;88(2):295-296. doi:10.1001/archsurg.1964.01310200133027