A rare complication of suprapubic catheterisation with obstruction and significant migration into a ureter

Abstract

Suprapubic catheter insertion is frequently indicated for patients with a neurogenic bladder. It's an effective and safe way to drain the bladder and can be managed in a community setting by a trained health professional. Here we report a rare case of a 73-year-old male-presenting with a two-day history of frank haematuria secondary to a recent suprapubic catheter change. Imaging confirmed an obstruction of the right ureteric orifice due to migration of the catheter into the ureter. Once the catheter was withdrawn into the correct location his haematuria and acute renal injury resolved and was discharged the following day.

Keywords

• Suprapubic catheter
• Neurogenic bladder
• Obstructive uropathy
• Spinal cord injury