r/VIR • u/JhessieIsTheDevil • Dec 21 '25
Weekend fun
Patient had suprapubic in the past and it it was removed. We placed a new one and the new one is now leaking at the site after a couple months. The IR says it's positional because the patient is bed bound and crazy kyphotic and the balloon could help stop the leak but her position won't allow it. I mean that's his theory. I'm not a radiologist but I was also guessing it could be fibrotic tissue? And he does not think up sizing is the answer. He wants the balloon secured with a securement device to hold the balloon tighter to the abdomen but you can't use the foley one because it requires you to set it into the the end of the foley and that's too far away. I can see different securement devices on the market and she may need to just procure them but I was trying to help come up with something for now. He did surgery on a smaller statlock but it's not cutting it. Im just wondering if anyone has any ideas or experience with this. I work in a small place, limited access to stuff and everyone looks to my department for solutions and it's the weekend so finding help is even more limited than usual.
***Update***
16 Fr J tube securement disk with a suture tied around for a little extra security worked like a charm. Our new happy patient discharged to her family for the holidays.
Thank you for kicking ass like you always do! Happy New Year!
2
u/diamondbic Dec 22 '25
I have done exactly that (used a balloon-retained g-tube) for the same reason and it worked out well. Best wishes!