Perineal abscess formation as a complication of intermittent self-catheterization

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An In Vitro Bladder Model of Catheter-Associated Urinary Tract Infection
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An In Vitro Bladder Model of Catheter-Associated Urinary Tract Infection

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J Pannek1, K Göcking, U Bersch

  • 1Neuro-Urology, Swiss Paraplegic Centre, Nottwil, Switzerland. juergen.pannek@paranet.ch

Spinal Cord
|November 14, 2007
PubMed
Abstract

Insights

A rare complication of intermittent catheterization, perineal abscess, can occur due to urethral injury. This case highlights the importance of considering this severe outcome in patients with fever and a history of urethral strictures.

Area of Science:

  • Urology
  • Infectious Diseases

Background:

  • Intermittent catheterization is a common procedure for bladder management.
  • Complications, though rare, can be severe and require prompt recognition.

Observation:

  • A 52-year-old male presented with fever and sepsis.
  • A bulbar urethral lesion from acute false passage during intermittent catheterization was identified.
  • The patient was diagnosed with a perineal abscess.

Findings:

  • Acute false passage during intermittent catheterization can lead to serious complications.
  • Perineal abscess formation is a potential risk, particularly in patients with prior urethral strictures.

Implications:

  • Clinicians should consider perineal abscess in patients with fever of unknown origin, especially those with a history of urethral strictures undergoing intermittent catheterization.
  • Early diagnosis and management are crucial to prevent severe outcomes associated with perineal abscess.

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