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Papers of the Week

2020 Feb 13

Ir Med J



Inadvertent Antegrade Urethral Placement of a Suprapubic Catheter.


Fitzpatrick G, Philbin D, Davis NF
Ir Med J. 2020 Feb 13; 113(2):26.
PMID: 32407011.


Presentation A 55-year-old male patient with neuropathic bladder secondary to multiple sclerosis (MS) presented to the EmergencyDepartment (ED) with abdominal pain and no output from his suprapubic catheter (SPC) that was changed 24 hourspreviously. Diagnosis On examination, the SPC-tip was clearly visible at the external urethral meatus. Treatment The patient was managed by gently deflating the anchoring balloon, exchanging the SPC and a period of observationto ensure adequate catheter drainage. Conclusion Important learning points from this case are to observe urine draining after routine SPC change and to examine thegenitalia when a misplaced SPC is suspected.