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Suprapubic catheter knotting: an unusual complication
Stefanos Gardikis1, Chrissostomos Soultanidis, Savas Deftereos
1Department of Pediatric Surgery, University Hospital of Alexandroupolis, Democritus University of Thrace, Medical School, Alexandroupolis, Greece. sgardik@med.duth.gr
International Urology and Nephrology
|March 25, 2005
Summary
A rare complication, true knotting of a suprapubic catheter, occurred in a young boy after hypospadias surgery. Excessive catheter length within the bladder likely caused this unusual knotting event.
Area of Science:
- Urology
- Pediatric Surgery
- Medical Device Complications
Background:
- Hypospadias repair is a common pediatric urological surgery.
- Suprapubic catheters are frequently used postoperatively for urinary drainage.
- Urethrocutaneous fistula is a known complication of hypospadias repair.
Observation:
- A 25-month-old boy developed a true knot in his suprapubic catheter.
- This occurred following surgical repair of a urethrocutaneous fistula.
- The fistula was a complication of a distal penile hypospadias repair.
Findings:
- True knotting of a suprapubic catheter is an uncommon event.
- Excessive catheter length within the urinary bladder is the probable cause.
- The long catheter segment likely folded onto itself, forming a knot.
Implications:
- This case highlights a rare but significant suprapubic catheter complication.
- Careful attention to catheter length during insertion is crucial.
- Understanding this complication may improve surgical technique and patient safety.