Ureteral Rupture Caused by a Suprapubic Catheter in a Male Patient With Spinal Cord Injury: A Case Report

Ann Rehabil Med, 2016 · DOI: https://doi.org/10.5535/arm.2016.40.6.1140 · Published: December 1, 2016

Spinal Cord Injury Urology Research Methodology & Design

Simple Explanation

Spinal cord injuries can disrupt the urinary system, often leading to neurogenic bladder. Treatments range from non-invasive methods to catheterization. However, long-term catheter use can cause complications like infections or damage. This paper presents a rare case of ureteral rupture caused by a suprapubic catheter in a male patient with a spinal cord injury. The injury occurred eleven years post-SCI during a routine catheter change. The patient experienced hematuria, fever, and chills, leading to a CT scan revealing retroperitoneal air and hematoma due to the ureteral rupture. The suprapubic catheter was removed, and subsequent procedures were performed to manage the injury.

Study Duration

Not specified

Participants

One 63-year-old male patient

Evidence Level

Level 4; Case Report

Key Findings

1
A 63-year-old male with SCI developed a ureteral rupture due to a suprapubic catheter 11 years after the initial injury.
2
CT scan revealed retroperitoneal free air and hematoma due to right distal ureteral rupture.
3
This case is the first reported instance of ureteral rupture caused by a suprapubic catheter in a male SCI patient with neurogenic bladder.

Research Summary

This case report describes a rare instance of ureteral rupture in a male patient with a spinal cord injury, caused by a suprapubic catheter. The patient developed complications 11 years after the initial SCI. The rupture was diagnosed via CT scan, revealing retroperitoneal air and hematoma. The suprapubic catheter was removed, and further interventions were performed. The authors emphasize the importance of careful catheter insertion techniques in SCI patients to prevent such complications, especially in those with vesicoureteral reflux and reduced bladder volume.

Practical Implications

Careful Catheter Insertion

Emphasizes the need for meticulous technique during suprapubic catheter insertion in SCI patients.

Risk Awareness

Highlights the rare but potential complication of ureteral rupture with long-term catheter use.

Regular Monitoring

Suggests considering imaging for patients with VUR undergoing catheter changes to detect potential trauma.

Study Limitations

1
Single case report, limiting generalizability.
2
Lack of detailed information on catheter insertion technique prior to rupture.
3
Limited understanding of specific patient factors contributing to the rupture.

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