A rare complication of suprapubic catheterisation following pelvic reconstructive surgery for urinary incontinence. (7th September 2012)

• Record Type: Journal Article
• Authors: Liang, Tina; Lazare, Darren; Schulz, Jane; Flood, Cathy
• Is Part Of: BMJ case reports. Volume 2012
• Publication Date: 2012-09-07
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr.02.2012.5758
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Suprapubic (SP) catheterisation is commonly used for drainage of the bladder following pelvic surgery. Although it is a widely employed procedure, it is not without complications, such as infection and blockage. The authors report a rare complication of SP catheterisation involving a persistent SP catheter site fistulous tract and an infected haematoma significantly complicating a patient's postoperative course. Wound debridement, bladder drainage and a prolonged course of antibiotics were employed to successfully treat this complication. The exact mechanism of her complication is only speculative, however to our knowledge no similar cases of a fistula after removal of a SP catheter used for short-term bladder drainage have been reported.