Inadvertent antegrade urethral placement of a suprapubic catheter
Presentation A 55-year-old male patient with neuropathic bladder secondary to multiple sclerosis (MS) presented to the Emergency Department (ED) with abdominal pain and no output from his suprapubic catheter (SPC) that was changed 24 hours previously.
Diagnosis On examination, the SPC-tip was clearly visible at the external urethral meatus.
Treatment The patient was managed by gently deflating the anchoring balloon, exchanging the SPC and a period of observation to ensure adequate catheter drainage.
Conclusion Important learning points from this case are to observe urine draining after routine SPC change and to examine the genitalia when a misplaced SPC is suspected.
CommentsThe original article is available at www.imj.ie
Published CitationFitzpatrick G, Philbin D, Davis NF. Inadvertent antegrade urethral placement of a suprapubic catheter. Ir Med J. 2020;113(2):26.
Publication Date13 February 2020
- Beaumont Hospital
PublisherIrish Medical Association
- Published Version (Version of Record)