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Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training

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Troubleshooting Foley Catheter Problems Using Point-of-Care Ultrasound.

Zachary Boivin¹, Jia Jian Li², Michael Gottlieb³

¹Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut.

The Journal of Emergency Medicine

|September 13, 2025

Summary

This summary is machine-generated.

Point-of-care ultrasound (POCUS) helps diagnose Foley catheter issues in the Emergency Department (ED). This imaging technique guides interventions for drainage problems, hematuria, and balloon malfunctions, avoiding unnecessary catheter replacements.

Keywords:

Foley catheter POCUS Point-of-care ultrasound Ultrasound Urinary retention

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Area of Science:

Emergency Medicine
Radiology
Urology

Background:

Foley catheter issues are a frequent cause for Emergency Department (ED) visits.
Traditional management often involves Foley catheter replacement.
Point-of-care ultrasound (POCUS) offers a more nuanced diagnostic and interventional approach.

Purpose of the Study:

To summarize diagnoses and solutions for Foley catheter problems in the ED.
To highlight the utility of POCUS in managing these complications.

Main Methods:

Utilizing POCUS for direct and indirect visualization of Foley catheter issues.
Assessing bladder distension and catheter patency with POCUS.
Employing POCUS to evaluate for intraluminal pathology such as blood clots.

Main Results:

POCUS effectively diagnoses causes of decreased or absent urine drainage.
POCUS aids in identifying hematuria and Foley balloon malfunctions.
POCUS provides advantages over commercial bladder scanners in Foley catheter assessment.

Conclusions:

POCUS enhances the diagnosis of Foley catheter complications.
Interventions like saline flushes or catheter manipulation can be guided by POCUS findings.
POCUS assists in determining the need for continuous irrigation and three-way Foley catheter placement.