©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Nephrol. Jun 25, 2025; 14(2): 104207
Published online Jun 25, 2025. doi: 10.5527/wjn.v14.i2.104207
Published online Jun 25, 2025. doi: 10.5527/wjn.v14.i2.104207
Improving outcomes in foley catheterization: A retrospective review with a proposed protocol
Jordan Sarver, Remington Farley, Shane Daugherty, Jordan Bilbrew, Joshua Palka, Department of Urology, Detroit Medical Center, Detroit, MI 48201, United States
Author contributions: Sarver J, Farley R, Daugherty S, Bilbrew J, and Palka J performed the research, contributed ideas, analyzed the date, and wrote the manuscript; Sarver J revised the manuscript. All authors have read and approve the final manuscript.
Institutional review board statement: The study was reviewed and approved by the Wayne State University Institutional Review Board (Approval No. IRB -22-4834).
Informed consent statement: Consent was not obtained but the presented data are anonymized and risk of identification is low.
Conflict-of-interest statement: No conflicts of interests are applicable for the authors involved in this study.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at j.sarver1011@gmail.com. Consent was not obtained but the presented data are anonymized and risk of identification is low.
Corresponding author: Jordan Sarver, Department of Urology, Detroit Medical Center, Harper Professional Building 4160 John R St. Suite 1017, Detroit, MI 48201, United States.
Received: December 13, 2024
Revised: March 14, 2025
Accepted: March 25, 2025
Published online: June 25, 2025
Processing time: 117 Days and 14.2 Hours
Revised: March 14, 2025
Accepted: March 25, 2025
Published online: June 25, 2025
Processing time: 117 Days and 14.2 Hours
Core Tip
Core Tip: We performed a single institution, retrospective review of 263 consultations for “difficult urethral catheter” or “traumatic urethral catheter”. The study found that of total consultations, 80.2% did not require heroic measures. A Foley catheter placement was determined not difficult in 73% of patients. Patients who had a history of difficult or traumatic catheter and those who had greater than one catheter attempts were statistically more likely to be a difficult urethral catheter. At our institution we hope to propose a protocol in which nursing staff will utilize a troubleshooting checklist and an algorithm when difficult urinary catheter or traumatic catheters are encountered to promote improved patient care.