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BMJ Case Reports 2012; doi:10.1136/bcr.02.2012.5758
  • Unexpected outcome (positive or negative) including adverse drug reactions

A rare complication of suprapubic catheterisation following pelvic reconstructive surgery for urinary incontinence

  1. Cathy Flood
  1. Obstetrics & Gynecology Department, University of Alberta, Edmonton, Canada
  1. Correspondence to Dr Darren Lazare, dlazare{at}mac.com

Summary

Suprapubic (SP) catheterisation is commonly used for drainage of the bladder following pelvic surgery. Although it is a widely employed procedure, it is not without complications, such as infection and blockage. The authors report a rare complication of SP catheterisation involving a persistent SP catheter site fistulous tract and an infected haematoma significantly complicating a patient’s postoperative course. Wound debridement, bladder drainage and a prolonged course of antibiotics were employed to successfully treat this complication. The exact mechanism of her complication is only speculative, however to our knowledge no similar cases of a fistula after removal of a SP catheter used for short-term bladder drainage have been reported.

Footnotes

  • Competing interests None.

  • Patient consent Obtained.

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