World Journal of Nephrology and Urology, ISSN 1927-1239 print, 1927-1247 online, Open Access
Article copyright, the authors; Journal compilation copyright, World J Nephrol Urol and Elmer Press Inc
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Case Report

Volume 1, Number 1, February 2012, pages 42-45

An Unusual Case of Severe Haemorrhage and Small Bowel Injury Following Percutaneous Suprapubic Catheter Insertion


Figure 1.
Figure 1. CT abdomen showing blood surrounding liver and spleen.


Table 1. Modified Guidelines From the British Association of Urological Surgeons “Guidelines for Safe SPC Insertion” [20]
Consider if a SPC is superior to a urethral catheter in each individual patient.
Patients need to be consented and provided with written and verbal information.
If there is no one skilled to do SPC, then a suprapubic aspiration with 21 Gauge needle can be used to temporarily alleviate symptoms.
If the bladder is not filled with at least 300 mls or in spinal cord injury, the patient should have regional or general anaesthetic
If the urine is likely to be colonised with bacteria, patients should have prophylactic antibiotics.
Closed techniques should only be performed by trained professionals who understand the risks.
US should be used to aid SPC insertion and by individuals who are trained and experienced.
If there is no previous lower abdominal or pelvic surgery, a closed technique can be used. If the bladder is palpable and that urine can be easily aspirated from the catheter track.
If history of lower abdominal surgery or a non-palpable bladder, or obese then an open technique or with imaging should be used to exclude bowel loops.