BMJ Case Reports 2018; doi:10.1136/bcr-2018-226726
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Spin-top-like encrustation of suprapubic cystostomy catheter: when proper counselling is all that it takes!

  1. Abhinav Veerwal3
  1. 1Department of Urology, King George’s Medical University, Lucknow, Uttar-Pradesh, India
  2. 2King George’s Medical University, Lucknow, Uttar-Pradesh, India
  3. 3BJ Medical College, Ahmedabad, Gujarat, India
  1. Correspondence to Dr Samarth Agarwal, rebellite{at}
  • Accepted 29 August 2018
  • Published 14 September 2018


A 25-year-old man from a rural background and suffering from psychiatric illness had complaints of acute urinary retention 1 year ago for which trocar-guided suprapubic cystostomy (SPC) Foley catheter placement was done elsewhere after failed attempt of per-urethral catheterisation.

There was no history of haematuria, lithuria, catheterisation and endourological intervention in the past. On further eliciting the history, there was a retrograde urethrogram film taken 1 year back which revealed a short segment (1.0 cm) bulbar urethral stricture. He had undergone optical internal urethrotomy with Foley catheter placement (14F) under regional anaesthesia for his urethral stricture. Per-urethral catheter was removed after 7 days and he voided well with good urinary stream. He was sent back home and instructed to follow-up after 3 days for removal of SPC catheter and need of de-clamping SPC catheter in case of urinary retention again.

However, a thorough counselling about catheter’s care and related complications was not done by concerned surgeon and he was lost to follow-up.

He now presented to us after 1 year with retained …

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