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Change of the suprapubic catheter: Not always safe!
Ajay S Kanbur1, Shrivastava Pushkar2, Pankaj N Maheshwari2
1Department of Urology, Jupiter Hospital, Thane, Maharashtra, India.
Summary
Changing suprapubic catheters (SPC) can lead to rare complications like ureteral misplacement, balloon extrusion, or bowel perforation. Increased awareness and proper technique are crucial for preventing these risks during routine SPC changes.
Area of Science:
- Urology
- Surgical Procedures
Background:
- Suprapubic catheterization (SPC) is a standard method for urinary bladder drainage.
- Long-term SPC requires regular catheter changes every 2-6 weeks.
- Catheter replacement is typically a safe outpatient procedure.
Observation:
- This report details three uncommon complications during SPC changes.
- Complications included catheter misplacement into the ureter.
- Other observed issues were balloon extrusion from the urethra and a bowel perforation.
Findings:
- Unusual complications can arise during routine suprapubic catheter replacement.
- Specific risks involve incorrect catheter placement and iatrogenic injury.
- Bowel perforation represents a severe, albeit rare, complication.
Implications:
- Enhanced awareness of potential risks is vital for healthcare providers.
- Adherence to proper techniques may prevent serious complications.
- These cases highlight the importance of meticulous practice in SPC management.
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