International Urogynecology Journal

, Volume 6, Issue 2, pp 110–113 | Cite as

Suprapubic catheterization complicated by bowel perforation

  • G. Cundiff
  • A. E. Bent
Case Report

Abstract

Inadvertent bowel injury can occur when utilizing trocar cystotomy technique for the placement of a suprapubic catheter. The authors present a patient who had a suprapubic catheter placed through a stab incision at the time of vaginal pelvic reconstruction for procidentia. Her presentation did not include the typical signs of peritonitis, but was characterized by low urine output and regression of bowel function due to ileus and third-spacing in the peritoneal cavity. The potential risk factors for bowel injury in this patient are enumerated and techniques to minimize the risk of bowel perforation are discussed. The risk of bowel injury is reduced by choosing a catheter introducer that minimizes impedance while piercing tissues, and by using a rigid cystoscope for visualization of the suprapubic trocar during entry into the bladder.

Keywords

Bowel injury Suprapubic catheter 

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References

  1. 1.
    Hurt WG. Urinary drainage devices: In: Hurt WG, ed.Urogynecologic surgery, Gaithersburg, MD: Aspen Publishers 1992:177–182Google Scholar
  2. 2.
    Hodgkinson CP, Hodari AA. Trocar suprapubic cystotomy for postoperative bladder draining in the female.Am J Obstet Gynecol 1966;96:773–781PubMedGoogle Scholar
  3. 3.
    Sethia KK et al. Prospective randomized controlled trial of urethral versus suprapubic catheterization.Br J Surg 1987; 74:624–625PubMedGoogle Scholar
  4. 4.
    Sagalowsky A. Catheter-related injuries as cause of acute surgical condition within the abdomenUrology 1979;13:261–263CrossRefPubMedGoogle Scholar
  5. 5.
    Sullivan LP, Davidson PG, Kloss DA, D'Anna JA. Small-bowel obstruction caused by a long-term indwelling urinary catheter.Surgery 1990;107:228–230PubMedGoogle Scholar
  6. 6.
    Morse RM, Spirnak JP, Resnick MI. Latrongenic colon and rectal injuries associated with urological intervention: report of 14 patients.J Urol 1988;140:101–103PubMedGoogle Scholar
  7. 7.
    Parikh A, Chapple CR, Hampson SJ. Suprapubic catheterization and bowel injury.Br J Urol 1992;70:212–213PubMedGoogle Scholar
  8. 8.
    St. George L, Woodhouse DR. Uremic peritonitis following suprapubic bladder puncture.Aust NZ J Obstet Gynecol 1987;27:75Google Scholar

Copyright information

© The International Urogynecology Journal 1995

Authors and Affiliations

  • G. Cundiff
    • 1
  • A. E. Bent
    • 2
  1. 1.Division of Gynecologic SpecialitesDuke University Medical CenterDurhamUSA
  2. 2.Division of UrogynecologyGreater Baltimore Medical CenterBaltimoreUSA

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