Royal College of Surgeons in Ireland
Inadvertent-Antegrade-Urethral-Placement-of-a-Suprapubic-Catheter (1).pdf (400.69 kB)

Inadvertent antegrade urethral placement of a suprapubic catheter

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journal contribution
posted on 2022-09-09, 14:20 authored by G Fitzpatrick, Deirdre PhilbinDeirdre Philbin, Niall DavisNiall Davis

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. 



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Published Citation

Fitzpatrick G, Philbin D, Davis NF. Inadvertent antegrade urethral placement of a suprapubic catheter. Ir Med J. 2020;113(2):26.

Publication Date

13 February 2020

PubMed ID



  • Beaumont Hospital
  • Surgery


Irish Medical Association


  • Published Version (Version of Record)