Suprapubic catheter stuck in the urethra

Case contributed by Craig Hacking
Diagnosis certain

Presentation

Recent SPC reinsertion, now not draining urine and unable to remove or deflate balloon.

Patient Data

Age: 40 years
Gender: Male

The suprapubic catheter enters through the anterior abdominal wall. It courses inferiorly through the bladder and enters the urethral opening. It passes through the prostatic urethra. Just inferior to this, the balloon is inflated within the lumen of the penile urethra. The balloon has a volume of approximately 5 ml.

No free intraperitoneal gas. Fecal loading in the rectum.

Case Discussion

The balloon could not be deflated. The balloon was punctured percutaneously by the urologist so the catheter could be removed and replaced.

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