Incisional hernia after suprapubic catheterization.
BACKGROUND
Suprapubic catheterization is a popular method of bladder drainage after gynecologic surgery. We report two cases of incisional hernia that developed after suprapubic catheterization.


METHODS
The first case involved a 64-year-old woman who underwent Burch urethropexy. Her suprapubic catheter was not removed until postoperative day 55 because of prolonged retention. She presented 1 month later with abdominal pain. In the second case, a 65-year-old woman had vesicovaginal fistula repair with suprapubic catheterization for 2 weeks after surgery. Five months later, she presented with abdominal pain. In both cases, examination revealed a hernia at the catheter exit site.


CONCLUSIONS
Incisional hernia is a rare complication of suprapubic catheterization that should be considered in patients who present with abdominal discomfort some time after catheterization.
Lobel
R W
RW
Evanston Continence Center, Department of Obstetrics and Gynecology, Evanston Hospital, Northwestern University Medical School, Illinois, USA.
Sand
P K
PK
D015746:Abdominal Pain / Q000209:etiology; D000368:Aged; D003559:Cystostomy / Q000009:adverse effects*; D005260:Female; D006555:Hernia, Ventral / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014546:Urinary Catheterization / Q000009:adverse effects*; D014549:Urinary Incontinence / Q000601:surgery