Complication of percutaneous suprapubic cystostomy

Area of Science:

• Urology
• Surgical Complications
• Endourology

Background:

• Urethral stricture disease is a common urologic condition often requiring surgical intervention.
• Acute urinary retention is a potential complication of urethral stricture.
• Percutaneous suprapubic catheterization is a standard procedure for managing acute retention.

Observation:

• A guidewire fractured during sequential dilatation for urethral stricture repair.
• The fractured guidewire was identified post-procedure via micturating urethrogram.
• This complication necessitated further intervention for guidewire retrieval.

Findings:

• Laser core through was utilized to address the urethral stricture.
• Endoscopic techniques enabled the successful removal of the fractured guidewire.
• A combined approach resolved both the stricture and the procedural complication.

Implications:

• This case demonstrates a rare but manageable complication during urethral stricture treatment.
• Endoscopic guidewire retrieval is a feasible solution for such intraoperative incidents.
• Successful management highlights the importance of advanced endoscopic and laser techniques in urology.