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Medical Device-related Pressure Injury Due to Urinary Catheterization: A Case Report.

Brenda K Woodmansee¹, Jennifer A Anderson¹

¹College of Nursing, University of South Alabama, Mobile, Alabama.

Wound Management & Prevention

|December 9, 2022

Summary

Medical device-related pressure injuries (MDRPIs) from urinary catheters are preventable but often overlooked. This case highlights the severe consequences and need for better healthcare professional training in identifying and managing these urethral erosions.

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Area of Science:

Urology
Medical Device Safety
Patient Care

Background:

Medical device-related pressure injuries (MDRPIs) are a significant concern.
Urethral erosion secondary to indwelling urinary catheters is understudied and often overlooked.
Preventable injuries necessitate improved clinical awareness and management protocols.

Observation:

A 93-year-old male patient developed urethral erosion after indwelling urinary catheter placement for retention.
The erosion progressed from 1 cm to 1.5 cm, encircling the meatus within a week.
Clinical signs of infection developed, indicating a severe complication.

Findings:

The case illustrates a severe MDRPI resulting in urethral erosion.
Delayed recognition and management exacerbated the injury and led to infection.
The patient's condition ultimately necessitated hospice care.

Implications:

Highlights the critical need for enhanced healthcare professional training on MDRPI risk factors and management.
Emphasizes the devastating impact of preventable injuries on patients and families.
Underscores the importance of proactive identification and intervention to prevent urethral erosion progression.