Removle of catheter day after TURP was disaster.
Posted , 12 users are following.
So was wondering if anything like this has ever happened to you. I had a TURP procedure done in August and stayed over so they could flush the clots and debris from my bladder. The very next day around noon a young (intern, I think) Came in and said he was going to remove the catheter from me which kind of gave me a bad feeling because I would have thought the surgeon who performed it would remove it. To make a very long story short when he attempted to remove it, he got it stuck on the way out of me and I was in horrible pain as he pulled so hard, but it would not come out. He told me he would be back and left the room which seemed like forever, but was more likely 5 minutes or so. When he came back in he stated that the balloon was not deflating and he literally ripped it out and I swear I was going to have a heart attack. Well, after another surgery for a torn urethra I now have to go over a hundred miles away to have a specialist recusruct my urethra with skin graph from the inside of my mouth. Has anyone ever heard of anything like this or did someone really mess up?
0 likes, 22 replies
billy16089 john19969
Posted
I've read suggestions here to seek legal counsel. I can tell you from experience, it is very difficult (at least in the Orlando Fl. area) to find a malpractice attorney. These days, most are ambulance chasers and only deal with, slip and fall and car accidents because they're an easy win. Just my 2 cents.....Billy
glenn77 billy16089
Posted
That was my experience in NC too. I did find one case in Toledo, Ohio where TURP surgery was a disaster, and a few hundred thousand dollars were paid to the injured man and his wife.
Glenn
kenneth1955 billy16089
Posted
Hey Billy
Yes it is very hard to prove anything you have to work fast. I live in Orlando Florida to. I had a problem in 2014 when I went to the hospital for sepsis. ( Did not know it at the time )
I was very sick for at least 6 weeks. Thought it was the flu or a cold. Finely I had my son take me to the hospital. After taking blood they told me I had sepsis in my whole body and it was starting to affect my organs.
The doctor came in and asked for a urine sample. I told him I did not need to go and I have a problem peeing on demand. ( When I go to the doctor I have to take it with me ) Well 10 minutes later I had a male nurse and a female nurse come into my room told my son to leave. At this time I have already ask what was going on. Got no answer. I was running a 103 fever and still in the wet stuff I had on.
Still asking what is going on. It was like I was not even there. Then the male nurse told the female nurse to take my pants off. I thought they were changing me. Will I never had catheter so I did not know. Well the one nurse had one leg off and then I felt him stuff the catheter in me. At that point I gave up. He kept pushing it in and out. He told that one out and tried another. No luck this was the fist time he said a word. Do you have a prostate problem. I told him no I went before I came to the hospital. My nurse had to clean me up because I was leaking blood.
Long story short. After I came home I looked everything up. You are suppose to ask permission of the patient for what every you are doing. I found out why they wanted it after They want to see if the sepsis was in my urine. All they would have had to do is explain it to me I would have giving my permission.
I filed a complaint with the hospital. Before I did that I went in September and got my Records in it all it said was that the doctor ordered a straight catheter and they could not do it. It took me some time to hear back from them. Well the letter that I got was not good. So I went back to the hospital in March and got my records again. I wanted to see if there was something I missed.
Well what I found was a little different from what I got the month after I was in the hospital. This time it said that the patient gave permission for the catheter to be inserted and was well tolerated but could not get it in.
I wrote them another letter and sent copy's of what I had. She said that she was sorry that I had a problem and they gave me $600 dollars off my bill. I could have went into it more but what nurse is going to tell there boss they did not fellow the procedure. I left it that way. But I went to a lawyer and had paper work wrote up. No one is aloud to do anything to me unless they tell me what they are doing.
I don't care what you are going to do but tell me first. Sorry this is so long but we have to take control of our body's...............Best of luck to all........Ken
uncklefester john19969
Posted
I'm not a sue happy person but in your case I'd get a lawyer.
john19969 uncklefester
Posted
I have never thought about any lawsuit in my life, but this is so wrong in so many ways. I changed doctors about two and a half years ago to get away from things like this. I put my trust in this facility and especially the Urologist I did not jump into this TURP without some serious reading. To this day I have yet to see the person who removed the catheter not once I also have the feeling that they were hoping like hell that the second surgery he performed would be the end of a major screw up on their part. I think I will give this urithra reconstruction a chance before I go the malpractice route its just the way I am.
glenn77 john19969
Posted
I found this discussion about how to proceed when a catheter balloon does not deflate. Here it is since my attempt to link it was denied for some inexplicable reason.
Am Fam Physician. 2000 Sep 15;62(6):1397-1398.
Approximately 10 to 15 percent of patients admitted to the hospital receive a Foley catheter. Complications associated with the use of urinary catheters include infection, bladder spasms, catheter encrustations and retained catheters. The latter problem is rather common and presents a challenging problem for the family physician. Shapiro and colleagues present a case illustrating this problem and provide a review of the literature about managing retained Foley catheters caused by balloons that will not deflate.
The primary reason for the catheter balloon not deflating is malfunction of the inflation valve caused by external clamping, crushing or kinking of the inflation channel. The valve can also become obstructed by crystallization when nonsterile fluid is used to fill the balloon.
The first step in managing the nondeflating Foley balloon is to advance the catheter to ensure that it is actually in the bladder. If this does not work, the balloon port should be cut proximal to the inflation valve. This removes the valve and should allow the water to spontaneously drain. If this does not work, the area of obstruction is likely to be along the length of the catheter or at the entrance to the balloon.
The next maneuver is to pass a lubricated fine-gauge guidewire through the inflation channel. The guidewire or stylet should allow fluid to drain along the wire itself. If this does not work, a 22-gauge central venous catheter can be passed over the guidewire. When the catheter tip is into the balloon, the wire can be removed, and the balloon should drain.
If the above techniques are unsuccessful, the authors advise against hyperinflation with air or saline. This step may cause severe pain and could cause bladder rupture. Instead, it is recommended that the balloon be dissolved chemically. The literature cites the use of ether, chloroform, acetone and mineral oil as possible options. However, only mineral oil is recommended because the other compounds are potentially toxic to the bladder epithelium. About 10 mL of mineral oil may be injected through the inflation port and will dissolve the balloon within 15 minutes. If this does not occur, an additional 10 mL can be instilled. Overall, this technique has a reported 85 to 90 percent success rate.
The final methods described involve active rupture of the Foley balloon with a sharp instrument. In women, a transurethral approach can be used that involves applying continuous, steady pressure on the catheter that might cause part of it to show through the urethral meatus, followed by piercing the balloon with a lumbar needle. This technique is not recommended for use in men. Other approaches include transabdominal, transvaginal, transperineal and transrectal puncture of the catheter balloon. The authors recommend the transrectal approach in men, preferably with the use of transrectal sonography (see the accompanying figure).
glenn77
Posted
And here is a decision diagram supporting the above discussion.
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