English to Russian Medical Medical (general)

Silicone Foley Catheter
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ADVERSE REACTIONS
 Reported adverse reactions associated with Foley Catheter are: Septicemia, Urethritis, Urinary tract infection and encrustations, bladder spasms, abdominal discomfort, etc.
 If difficulty is encountered aspirating the balloon with a syringe, a rare and infrequently reported event, and the leg of the catheter with the valve should be cut with a sharp scissors at the bifurcation or the balloon ruptured according to established procedures reported in medical literature.
Should it be necessary to rupture the balloon, care must be taken to remove all fragments from the patient’s bladder.

"the balloon ruptured" - относится к "should be"? И как корректнее перевести?

Благодарю!