A case of traumatic urethral stricture complicated by periurethral abscess while awaiting delayed urethroplasty
Introduction We report a case of bulbar urethral injury complicated by periurethral abscess due to inappropriate suprapubic catheter management. Case presentation A 58‐year‐old man with bulbar urethral injury due to perineal trauma was referred to our hospital, and a suprapubic catheter was inserted...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-09-01
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| Series: | IJU Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/iju5.12490 |
| _version_ | 1818001747226918912 |
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| author | Masayuki Shinchi Akio Horiguchi Eiji Takahashi Fumihiro Kimura |
| author_facet | Masayuki Shinchi Akio Horiguchi Eiji Takahashi Fumihiro Kimura |
| author_sort | Masayuki Shinchi |
| collection | DOAJ |
| description | Introduction We report a case of bulbar urethral injury complicated by periurethral abscess due to inappropriate suprapubic catheter management. Case presentation A 58‐year‐old man with bulbar urethral injury due to perineal trauma was referred to our hospital, and a suprapubic catheter was inserted for initial management. Although he was instructed to connect the catheter to the urine collection bag, he connected a plug to the catheter. As a result, he developed periurethral abscesses due to extravasated urine from the injured urethra, requiring percutaneous drainage and prolonging the time to definitive urethroplasty for the urethral stricture. Conclusion It is essential that the suprapubic catheter be connected to a urine collection bag rather than a plug to keep the bladder as empty as possible and to minimize extravasation of the urine from the injured urethra. |
| first_indexed | 2024-04-14T03:37:15Z |
| format | Article |
| id | doaj.art-fb7be5073998425ba67d3e00a04eef62 |
| institution | Directory Open Access Journal |
| issn | 2577-171X |
| language | English |
| last_indexed | 2024-04-14T03:37:15Z |
| publishDate | 2022-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | IJU Case Reports |
| spelling | doaj.art-fb7be5073998425ba67d3e00a04eef622022-12-22T02:14:42ZengWileyIJU Case Reports2577-171X2022-09-015536636810.1002/iju5.12490A case of traumatic urethral stricture complicated by periurethral abscess while awaiting delayed urethroplastyMasayuki Shinchi0Akio Horiguchi1Eiji Takahashi2Fumihiro Kimura3Department of Urology National Defense Medical College Saitama JapanDepartment of Urology National Defense Medical College Saitama JapanDepartment of Urology Nishisaitama‐chuo National Hospital Saitama JapanDepartment of Urology Nishisaitama‐chuo National Hospital Saitama JapanIntroduction We report a case of bulbar urethral injury complicated by periurethral abscess due to inappropriate suprapubic catheter management. Case presentation A 58‐year‐old man with bulbar urethral injury due to perineal trauma was referred to our hospital, and a suprapubic catheter was inserted for initial management. Although he was instructed to connect the catheter to the urine collection bag, he connected a plug to the catheter. As a result, he developed periurethral abscesses due to extravasated urine from the injured urethra, requiring percutaneous drainage and prolonging the time to definitive urethroplasty for the urethral stricture. Conclusion It is essential that the suprapubic catheter be connected to a urine collection bag rather than a plug to keep the bladder as empty as possible and to minimize extravasation of the urine from the injured urethra.https://doi.org/10.1002/iju5.12490periurethral abscessurethral traumaurine drainage |
| spellingShingle | Masayuki Shinchi Akio Horiguchi Eiji Takahashi Fumihiro Kimura A case of traumatic urethral stricture complicated by periurethral abscess while awaiting delayed urethroplasty IJU Case Reports periurethral abscess urethral trauma urine drainage |
| title | A case of traumatic urethral stricture complicated by periurethral abscess while awaiting delayed urethroplasty |
| title_full | A case of traumatic urethral stricture complicated by periurethral abscess while awaiting delayed urethroplasty |
| title_fullStr | A case of traumatic urethral stricture complicated by periurethral abscess while awaiting delayed urethroplasty |
| title_full_unstemmed | A case of traumatic urethral stricture complicated by periurethral abscess while awaiting delayed urethroplasty |
| title_short | A case of traumatic urethral stricture complicated by periurethral abscess while awaiting delayed urethroplasty |
| title_sort | case of traumatic urethral stricture complicated by periurethral abscess while awaiting delayed urethroplasty |
| topic | periurethral abscess urethral trauma urine drainage |
| url | https://doi.org/10.1002/iju5.12490 |
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