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CONGRESS OF THE ESPU
11:25–11:30
S6-2 (PP)
HOME REMOVAL OF HYPOSPADIAS CATHETER: A PILOT
STUDY
Beverley Ann WHITNALL
1
, Anju GOYAL
2
and Liz EDWARDS
2
1) Manchester Children’s Hospital, Department of Paediatric Urology / Nursing Services, Manchester,
UNITED KINGDOM - 2) Royal Manchester Childrens Hospital, Paediatric Urology, Manchester, UNITED KINGDOM
PURPOSE
Most patients with Hypospadias who undergo an operation have a Foleys catheter left in which
requires removal 7-14 days later. Usually this is done by the community nurses and sometimes
patients are admitted back for removal in the hospital. These catheters can however be removed at
home by cutting the balloon port. This deflates the retaining ballooon allowing the catheter to come
out spontaneously over the next few hours. An information leaflet was devised to inform the staff
nurses and parents.
MATERIAL AND METHODS
We did a prospective audit over a 3 month period from 01/07/2016 until 30/09/2016. Information
about the audit was provided to the nursing staff in the ward. All patients who had a hypospadias
repair were sent home with a catheter and were given information about the method of catheter
removal along with an information leaflet, scissors and an alcowipe. Parents were advised to cut
the ballooon port on the specified date and the urology team followed this up by telephone call to
assess the outcome and the audit proforma was completed.
RESULTS
A total of 14 eligible patients were given the information leaflets. Two patients were anxious about
the procedure and did not wish to proceed ahead with the home catheter removal.
The remaining 12 patients cut the ballooon port at home. In 11 the catheter came out spontaneously
after a period of 1-16 hours. In 8 it came out easily and in 3 it required a gentle pull. In 1 patient the
catheter did not come out and they needed to come to A&E for catheter removal.
CONCLUSIONS
Home removal of a Foleys catheter is feasible. This simplifies the patient pathway and reduces
costs.