Retrospective Study
Copyright ©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
Improving outcomes in foley catheterization: A retrospective review with a proposed protocol
Jordan Sarver, Remington Farley, Shane Daugherty, Jordan Bilbrew, Joshua Palka
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.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jordan Sarver, Department of Urology, Detroit Medical Center, Harper Professional Building 4160 John R St. Suite 1017, Detroit, MI 48201, United States. j.sarver1011@gmail.com
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
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.