Incisional hernia after suprapubic catheter insertion

Incisional Hernia after Suprapubic Trocar Cystostomy

“…This is the 2nd case of incisional hernia reported in the English literature following trocar suprapubic cystostomy [3] and the 4th following any technique of suprapubic catheterization [4].…”

“…The latter is presumably due to radial transmission of abdominal pressure at the hernial neck and leads to attenuation of tissues, and hence the defect might be larger than the actual size of the defect created by trocar and catheter. Straining due to recurrent urinary obstruction, chronic constipation, or chronic cough are the risk factors [3]. The diagnosis is made on the basis of the presence of a positive cough impulse and a palpable rectus sheath defect.…”

Early and late complications of suprapubic cystostomy – Report of two cases

“…The other possible late complication of transperitoneal SPC is predisposition to incisional hernia. Few case reports of hernia in the SPC tract are available[ 4 ], but incisional hernia with SPC in situ is very rare, with very few case reports[ 5 ]. These patients need mesh hernioplasty, especially if the neck is narrow and hernia irreducible.…”

An Unusual Cause of Delayed Bowel Obstruction Due to a Misplaced Suprapubic Catheter. A Case Report

“…SPC insertion is considered a commonly performed procedure which can be performed by a junior surgical trainee. However SPCs are not risk free and are associated with potential complications such as recurrent urinary tract infections, bleeding, catheter blockage, incisional hernia and bowel injury after transperitoneal insertion of the catheter [1][2][3]. Small bowel injury due to SPC inser- tion is a recognized complication where in two large series of 219 and 157 patients they report an incidence of 2.7% and 2.4% respectively [2,3].…”