title: A rare complication of suprapubic catheterisation following pelvic reconstructive surgery for urinary incontinence.
abstract: Suprapubic (SP) catheterisation is commonly used for drainage of the bladder following pelvic surgery. Although it is a widely employed procedure, it is not without complications, such as infection and blockage. The authors report a rare complication of SP catheterisation involving a persistent SP catheter site fistulous tract and an infected haematoma significantly complicating a patient's postoperative course. Wound debridement, bladder drainage and a prolonged course of antibiotics were employed to successfully treat this complication. The exact mechanism of her complication is only speculative, however to our knowledge no similar cases of a fistula after removal of a SP catheter used for short-term bladder drainage have been reported.
authors.affiliation: Obstetrics & Gynecology Department, University of Alberta, Edmonton, Canada.
authors.forename: Tina
authors.initials: T
authors.lastname: Liang
authors.forename: Darren
authors.initials: D
authors.lastname: Lazare
authors.forename: Jane
authors.initials: J
authors.lastname: Schulz
authors.forename: Cathy
authors.initials: C
authors.lastname: Flood
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001424:Bacterial Infections / Q000150:complications / Q000188:drug therapy; D017577:Cutaneous Fistula / Q000209:etiology* / Q000601:surgery; D003559:Cystostomy / Q000009:adverse effects; D005260:Female; D006406:Hematoma / Q000209:etiology* / Q000382:microbiology / Q000628:therapy; D006801:Humans; D008875:Middle Aged; D001747:Urinary Bladder Fistula / Q000209:etiology* / Q000601:surgery; D014546:Urinary Catheterization / Q000009:adverse effects*; D014550:Urinary Incontinence, Stress / Q000601:surgery
chemical_list: D000900:Anti-Bacterial Agents