Burrowing of urinary bladder wall by the tip of a size 22 Fr silicone foley catheter in an adult male patient with multiple sclerosis and suprapubic cystostomy
2008

Catheter Complications in Multiple Sclerosis Patients

Sample size: 1 publication Evidence: low

Author Information

Author(s): Vaidyanathan Subramanian, Hughes Peter L, Mansour Paul, Soni Bakul M

Primary Institution: District General Hospital, Southport, UK

Hypothesis

Should caution be exercised in using a size 22 Fr silicone Foley catheter for long-term drainage of neuropathic bladder?

Conclusion

Using a larger, stiffer catheter increases the risk of bladder perforation in patients with neuropathic bladders.

Supporting Evidence

  • Silicone Foley catheters become stiffer as their size increases.
  • Chronic inflammation in neuropathic bladders can lead to perforation by catheter tips.
  • Using a smaller catheter and changing it more frequently can reduce risks.

Takeaway

Using a big, hard tube to drain pee can hurt people with weak bladders, so it's better to use a smaller, softer one.

Methodology

Case report detailing the patient's catheter changes and subsequent complications.

Limitations

The study is based on a single case report, limiting generalizability.

Participant Demographics

55-year-old Caucasian male with multiple sclerosis.

Digital Object Identifier (DOI)

10.1186/1757-1626-1-25

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