Obstructive Nephropathy from Misplaced Suprapubic Catheter with Antegrade Migration into the Urethra
Case Presentation: An 83-year-old male with a history of prostate cancer and prior prostatectomy presented with lower abdominal pain, urethral leakage, and hematuria after a routine suprapubic catheter exchange, which was found to be incorrectly positioned in the bulbar urethra, leading to obstructi...
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| Format: | Article |
| Language: | English |
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eScholarship Publishing, University of California
2025-01-01
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| Series: | Clinical Practice and Cases in Emergency Medicine |
| Online Access: | https://escholarship.org/uc/item/3j79z68t |
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| author | Alexander W. Lipinski Jordan R. Pollock Nelly Tan Douglas Rappaport |
| author_facet | Alexander W. Lipinski Jordan R. Pollock Nelly Tan Douglas Rappaport |
| author_sort | Alexander W. Lipinski |
| collection | DOAJ |
| description | Case Presentation: An 83-year-old male with a history of prostate cancer and prior prostatectomy presented with lower abdominal pain, urethral leakage, and hematuria after a routine suprapubic catheter exchange, which was found to be incorrectly positioned in the bulbar urethra, leading to obstructive nephropathy with mild hydronephrosis. Discussion: This case highlights the increased risk of suprapubic catheter misplacement and complications in elderly patients with neurogenic bladder and altered urinary anatomy, particularly after prostatectomy and artificial urethral sphincter placement. It emphasizes the importance of careful management during catheter exchanges in such patients to prevent complications of misplacement. |
| format | Article |
| id | doaj-art-d62ca6de35d447e7aa5a04061df10e7a |
| institution | Kabale University |
| issn | 2474-252X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | eScholarship Publishing, University of California |
| record_format | Article |
| series | Clinical Practice and Cases in Emergency Medicine |
| spelling | doaj-art-d62ca6de35d447e7aa5a04061df10e7a2025-02-04T17:35:19ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2025-01-019112012210.5811/cpcem.35602cpcem-9-120Obstructive Nephropathy from Misplaced Suprapubic Catheter with Antegrade Migration into the UrethraAlexander W. Lipinski0Jordan R. Pollock1Nelly Tan2Douglas Rappaport3Mayo Clinic Alix School of Medicine, Mayo Clinic, Scottsdale, ArizonaMayo Clinic, Department of Radiology, Phoenix, ArizonaMayo Clinic, Department of Radiology, Phoenix, ArizonaMayo Clinic, Department of Emergency Medicine, Phoenix, ArizonaCase Presentation: An 83-year-old male with a history of prostate cancer and prior prostatectomy presented with lower abdominal pain, urethral leakage, and hematuria after a routine suprapubic catheter exchange, which was found to be incorrectly positioned in the bulbar urethra, leading to obstructive nephropathy with mild hydronephrosis. Discussion: This case highlights the increased risk of suprapubic catheter misplacement and complications in elderly patients with neurogenic bladder and altered urinary anatomy, particularly after prostatectomy and artificial urethral sphincter placement. It emphasizes the importance of careful management during catheter exchanges in such patients to prevent complications of misplacement.https://escholarship.org/uc/item/3j79z68t |
| spellingShingle | Alexander W. Lipinski Jordan R. Pollock Nelly Tan Douglas Rappaport Obstructive Nephropathy from Misplaced Suprapubic Catheter with Antegrade Migration into the Urethra Clinical Practice and Cases in Emergency Medicine |
| title | Obstructive Nephropathy from Misplaced Suprapubic Catheter with Antegrade Migration into the Urethra |
| title_full | Obstructive Nephropathy from Misplaced Suprapubic Catheter with Antegrade Migration into the Urethra |
| title_fullStr | Obstructive Nephropathy from Misplaced Suprapubic Catheter with Antegrade Migration into the Urethra |
| title_full_unstemmed | Obstructive Nephropathy from Misplaced Suprapubic Catheter with Antegrade Migration into the Urethra |
| title_short | Obstructive Nephropathy from Misplaced Suprapubic Catheter with Antegrade Migration into the Urethra |
| title_sort | obstructive nephropathy from misplaced suprapubic catheter with antegrade migration into the urethra |
| url | https://escholarship.org/uc/item/3j79z68t |
| work_keys_str_mv | AT alexanderwlipinski obstructivenephropathyfrommisplacedsuprapubiccatheterwithantegrademigrationintotheurethra AT jordanrpollock obstructivenephropathyfrommisplacedsuprapubiccatheterwithantegrademigrationintotheurethra AT nellytan obstructivenephropathyfrommisplacedsuprapubiccatheterwithantegrademigrationintotheurethra AT douglasrappaport obstructivenephropathyfrommisplacedsuprapubiccatheterwithantegrademigrationintotheurethra |