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Inadequate decompression of the upper tracts using a Foley catheter in the valve bladder

G H Jordan, D L Hoover

    The Journal of Urology
    |July 1, 1985
    PubMed

    Insights

    Catheter drainage for posterior urethral valves can be challenging. A Foley catheter may worsen obstruction, while a feeding tube can effectively decompress the upper tracts in infants.

    Area of Science:

    • Pediatric Urology
    • Medical Device Engineering

    Background:

    • Posterior urethral valves (PUV) are a common cause of bladder outlet obstruction in male infants.
    • Catheter drainage is often used for initial management of PUV with urinary tract infection or metabolic issues.

    Observation:

    • A case is presented where a Foley catheter failed to adequately decompress the upper urinary tract in a child with PUV.
    • Replacing the Foley catheter with a feeding tube resulted in excellent upper tract decompression.

    Findings:

    • The Foley catheter may paradoxically promote upper tract obstruction in some cases of PUV.
    • This obstruction might be linked to the valve bladder syndrome.

    Implications:

    • Feeding tubes may be a viable alternative for upper tract decompression in select PUV cases.
    • Further investigation is needed to understand the mechanism of Foley-induced obstruction in PUV.

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