The Journal of Spinal Cord Medicine, 2019 · DOI: 10.1080/10790268.2018.1557862 · Published: January 1, 2019
Spinal cord injuries can lead to bladder dysfunction, often managed with clean intermittent catheterization (CIC). This case report highlights an unusual complication: a piece of the catheter itself breaking off and remaining in the bladder. A 40-year-old woman with a spinal cord injury, who used CIC, experienced increased spasticity and urinary leakage. Doctors discovered pieces of the catheter's 'insertion sleeves' in her bladder. This case emphasizes the importance of educating patients and caregivers about potential complications of CIC, including the possibility of catheter fragments remaining in the bladder.
Comprehensive education for patients and caregivers about potential CIC complications can prevent similar incidents.
Emphasize the importance of checking catheter integrity before and after use to identify any damage or potential fragmentation.
Regular urinary system evaluations, including imaging, should be considered for patients with neurogenic bladder, especially when new or worsening symptoms arise.