Management of Foley Catheter Balloon Lodged in the Prostate

Initial Management

• When a Foley catheter balloon is lodged in the prostate, the first intervention should be to attempt passage of a stylet wire in the balloon lumen to clear any material that may be obstructing the deflation channel 1

Complications to Monitor

• Urethral erosion or stricture formation may occur following traumatic catheter removal 2
• Infection risk increases with prolonged catheterization and urethral trauma 1

Follow-up Care

• After resolution of a lodged catheter, follow-up imaging should confirm proper healing before any replacement catheter removal 1

Surgical Intervention

• In cases of significant urethral injury, the AUS should be explanted with the urethral catheter left in place for a few weeks to allow the urethral defect to heal 2