Obstruction of a ureter orifice by suprapubic catheter

Abstract

An Indwelling suprapubic catheter is an established solution for patients with meningomyelocele neurogenic bladder. We report on a case in which a routinely replaced suprapubic catheter obstructed the left ureter orifice. The catheter drainage holes were inside the distal left ureter which compromised urinary drainage from the other kidney as well. As a result, the patient suffered from acute renal failure. During his hospitalization, the catheter was replaced and re-located, and renal function rapidly improved. This case emphasizes that even procedures that have been routinely performed for decades can manifest with an unusual complications.

Ureteric orifice obstruction by catheter balloon Post-TURP: A rare cause of obstructive uropathy

“…Whilst over a dozen case reports 4 , 5 have highlighted the potential for catheter tips to cannulate the distal ureter and cause obstructive uropathy, a scenario similar to ours has only been reported once. Cuttino & Clark (1987) 1 reported a case of bilateral UO obstruction by catheter balloon in a 42-year-old male with spastic paraplegia and neurogenic bladder.…”