Using sterile procedure
Attach Foley to drainage catheter, if not already attached
There is no longer a need to test the catheter balloon prior to procedure and this is no longer recommended by the manufacturer
Have assistant (or wear a second pair of gloves for this part, if you have no assistant):
Deflate balloon of old catheter
Remove old catheter (you may feel some mild resistance. If you are sure the balloon is fully deflated, it’s alright to give it a little tug).
Note how far old catheter length was inside patient
If you had no assistant, remove first pair of gloves afterwards
Afterwards, move to next step quickly to minimize time that there is no catheter in fistula site
Note how far old catheter length was inside patient
If you had no assistant, remove first pair of gloves afterwards
Afterwards, move to next step quickly to minimize time that there is no catheter in fistula site
Only push it in just slightly further than previous catheter was in
Immediately stop if the patient has significant pain during inflation and insert the Foley further
Suprapubic catheter changing or replacement
Suprapubic bladder aspiration
Suprapubic catheter placement
Perianal block
Bladder lavage
Bladder ultrasound
Oral contrast for abdominal and pelvic CT
Whole bowel irrigation