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An Unusual Complication of Suprapubic Catheter Migration into the Left Ureter

Wang Shuaibin, Mu Haiqi, Feng Qin, Yu Haifeng




Suprapubic cystostomy is a widely employed procedure that is used to drain the bladder. Despite being a safe procedure, suprapubic cystostomy has been reported to present multiple intra- and postoperative complications. Serious and unusual complications can occur during changing of the suprapubic catheter (SPC) in patients with neuropathic bladder. In this work, we report an elderly patient with neuropathic bladder suffering from an unusual complication involving migration of the SPC into the ureter during changing of the SPC, leading to ureteric obstruction and left pyelonephritis.


Vaidyanathan Subramanian, Soni Bakul, Hughes Peter, et al. Preventable long-term complications of suprapubic cystostomy after spinal cord injury: Root cause analysis in a representative case report. Patient Saf Surg. 2011;5:27.

Szolnoki J M, Puskas F, Sweeney D M, et al. Hyponatremic seizures after suprapubic catheter placement in 7-year-old child.

Paediatr Anaesth. 2006;16:192-4.

Vaidyanathan Subramanian, Soni Bakul M, Singh Gurpreet, et al. Fatality due to septicemia and hemorrhage in a patient with

spinal cord injury and ischemic heart disease with the need for long-term catheter drainage. Adv Ther. 2006;23:354-8.

Ananthakrishnan Krishnan, Ayyathurai Rajinikanth, Chiran J K, et al. An unusual complication of suprapubic catheter insertion.

ScientificWorldJournal. 2006;6:2433-5.

McPhail M J W, Abu-Hilal M, Johnson C DA meta-analysis comparing suprapubic and transurethral catheterization for bladder drainage after abdominal surgery. Br J Surg. 2006;93:1038-44.

Katsumi H K, Kalisvaart J F, Ronningen L D, et al. Urethral versus suprapubic catheter: choosing the best bladder management for male spinal cord injury patients with indwelling

catheters. Spinal Cord. 2010;48:325-9.

Nomura S, Ishido T, Teranishi J, et al. Longterm analysis of suprapubic cystostomy drainage in patients with neurogenic bladder. Urol Int. 2000;65:185-9.

Vaidyanathan Subramanian, Hughes Peter L, Soni Bakul M, et al. Inadvertent positioning of suprapubic catheter in urethra: a serious complication during change of suprapubic cystostomy in a spina bifida patient - a case report. Cases J. 2009;2:9372.

Vaidyanathan Subramanian, Hughes Peter L, Soni Bakul M, et al. Hourglass urinary bladder in a spinal cord injury patient - unusual late complication of suprapubic cystostomy: a case

report. Cases J. 2009;2:6866.

Dangle Pankaj P, Tycast James, Vasquez Evalynn, et al. Suprapubic cystostomy: a bizarre complication of catheter migration causing ureteric obstruction. Can Urol Assoc

J. 2010;4:E127-8.

DOI: http://dx.doi.org/10.22037/uj.v0i0.4021


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