Perineal abscess formation as a complication of intermittent self-catheterization

Abstract

Study design: Case report.Objectives: To present a rare but severe complication of intermittent catheterization. Setting: Paraplegic centre in Switzerland. Method and results: A 52-year-old man presenting with fever and septicaemia was diagnosed with a perineal abscess due to a bulbar urethral lesion caused by acute false passage during intermittent catheterization. Conclusion: Especially in patients with a history of urethral strictures performing intermittent catheterization, the possibility of perineal abscess formation should be taken into account when treating such a patient with fever of unknown origin.

Urethrogluteal Fistula Developing Secondary to the Use of Clean Intermittent Self-Catheterization: First Case Report in the Literature

“…Incidence of formation of urethral false passage during the use of CISC was reported to be 3–9%, while that of urethral stricture was reported to be 1–9% in the literature [ 2 ]. Abscess formation as a complication of intermittent catheterization has only been described twice previously [ 5 , 6 ].…”

“…During the first treatment, it is aimed to prevent urinary sepsis using appropriate antibiotics [ 8 ]. Some of the fistulas can be treated with simple procedures such as urethral catheterization and follow-up [ 6 , 7 ]. We diagnosed our patient with fistula and performed his follow-up by suprapubic catheterization.…”