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Intestinal Injury After Suprapubic Catheterisation: A Scoping Review.

Farhan Jarral1, Abdelrahman Hamdy2, Osama Abusand3

  • 1Urology, Doncaster Royal Infirmary, Doncaster, GBR.

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Summary

Suprapubic catheterisation (SPC) can cause rare but serious bowel injuries, often involving the small bowel. Management strategies vary based on injury severity, highlighting a need for improved consensus and quality improvement.

Keywords:
bowel injurycomplication managementliterature summaryscoping reviewsuprapubic catheter

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Area of Science:

  • Urology
  • Gastrointestinal Surgery

Background:

  • Suprapubic catheterisation (SPC) is a common urological procedure.
  • Bowel injury is a rare but severe complication of SPC, with lacking management consensus.
  • Preventive measures like ultrasound guidance have been introduced but do not eliminate risk.

Purpose of the Study:

  • To conduct a scoping review of existing literature on the management of intestinal injury secondary to SPC.
  • To identify common types of SPC-related bowel injuries and their management strategies.
  • To provide a literature summary to aid future quality improvement initiatives.

Main Methods:

  • A scoping review of published literature was performed.
  • The review focused on identifying and analyzing reported cases and management strategies for SPC-induced bowel injury.
  • Literature was assessed to determine common injury types and treatment approaches.

Main Results:

  • Bowel perforation, especially of the small bowel and terminal ileum, is the most frequent SPC-related bowel injury.
  • Management strategies range from exploratory laparotomy to less invasive laparoscopic interventions, tailored to injury severity and patient condition.
  • Despite preventive measures, SPC-associated bowel injury remains a recognized complication.

Conclusions:

  • SPC-associated bowel injury is a serious, albeit rare, complication requiring varied management approaches.
  • Management decisions depend critically on the location and severity of the bowel injury.
  • Further quality improvement efforts are needed, informed by a comprehensive understanding of reported management strategies.