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 insert...

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Autores principales: Shinchi, Masayuki, Horiguchi, Akio, Takahashi, Eiji, Kimura, Fumihiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9436692/
https://www.ncbi.nlm.nih.gov/pubmed/36090942
http://dx.doi.org/10.1002/iju5.12490
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author Shinchi, Masayuki
Horiguchi, Akio
Takahashi, Eiji
Kimura, Fumihiro
author_facet Shinchi, Masayuki
Horiguchi, Akio
Takahashi, Eiji
Kimura, Fumihiro
author_sort Shinchi, Masayuki
collection PubMed
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.
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spelling pubmed-94366922022-09-09 A case of traumatic urethral stricture complicated by periurethral abscess while awaiting delayed urethroplasty Shinchi, Masayuki Horiguchi, Akio Takahashi, Eiji Kimura, Fumihiro IJU Case Rep Case Reports 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. John Wiley and Sons Inc. 2022-05-30 /pmc/articles/PMC9436692/ /pubmed/36090942 http://dx.doi.org/10.1002/iju5.12490 Text en © 2022 The Authors. IJU Case Reports published by John Wiley & Sons Australia, Ltd on behalf of Japanese Urological Association. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Reports
Shinchi, Masayuki
Horiguchi, Akio
Takahashi, Eiji
Kimura, Fumihiro
A case of traumatic urethral stricture complicated by periurethral abscess while awaiting delayed urethroplasty
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 Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9436692/
https://www.ncbi.nlm.nih.gov/pubmed/36090942
http://dx.doi.org/10.1002/iju5.12490
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