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Related Experiment Video

Updated: Jan 22, 2026

The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire
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Suprapubic catheter change, what could go wrong?

Chidozie Ejikeme1

  • 1Urology Department, St Helens and Knowsley Teaching Hospitals NHS Trust, Prescot, UK.

BMJ Case Reports
|July 11, 2019
PubMed
Summary

Suprapubic catheter (SPC) changes can lead to rare complications. In one case, a catheter perforated the bladder and inflated within the vagina during a routine change.

Keywords:
catheterisation / catheter carelong-term caremedical-surgical nursingurinary tract infectionsurological surgery

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Area of Science:

  • Urology
  • Gynecology

Background:

  • Neurological bladder dysfunction necessitates urinary symptom management.
  • Suprapubic catheters (SPCs) are commonly used for this purpose.
  • Routine SPC changes are generally safe.

Observation:

  • A 56-year-old woman underwent a routine SPC change.
  • The procedure was complicated by an unusual event.

Findings:

  • The suprapubic catheter perforated the urinary bladder.
  • The catheter subsequently inflated within the vaginal canal.

Implications:

  • Highlights potential risks associated with suprapubic catheter management.
  • Underscores the importance of vigilance during catheter procedures.
  • Suggests a need for review of techniques to prevent such rare complications.